Individual provider · NPI-1

Lindsay C. Boven, MD

Otolaryngology · Glendale, AZ

NPI number1992238968
StatusActive
Last updated in NPPESSep 18, 2024

Details

NPI
1992238968
Entity type
Individual (NPI-1)
Name
Lindsay C. Boven
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2017
Certification date
Sep 18, 2024
Last updated
Sep 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology73956AZYes

Practice location

5750 W Thunderbird Rd Ste A100
Glendale, AZ 85306-4661

Phone 602-938-3205 · Fax 602-938-5799

Mailing address

4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042

Phone 602-264-4834 · Fax 602-254-5178

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