person
Dr. Gary Kenneth Boone, MD
Adult Medicine Physician in San Diego, California
NPI 1073543781

Gary Kenneth Boone is an Adult Medicine Physician based in San Diego, CA and is specialized in Adult Medicine. Gary Kenneth Boone practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Gary Kenneth Boone is 1073543781 and holds a License No. G31968 (California).

The current practice location address for Gary Kenneth Boone is 3737 Moraga Ave Ste B408, San Diego, CA and can be reached out via phone at 858-292-8885 and via fax at 858-292-0688.

Location: 3737 Moraga Ave Ste B408, San Diego, CA, 92117-5364
person
Provider Profile Details
NPI Number
1073543781
Provider Name
Gary Kenneth Boone
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3737 Moraga Ave Ste B408, San Diego, CA, 92117-5364
Phone Number
858-292-8885
Fax Number
858-292-0688
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G319680 05 CA
institution
Provider Business Practice Location Address Details
Address
3737 Moraga Ave Ste B408
City
State
Zip
92117-5364
Phone Number
858-292-8885
Fax Number
858-292-0688
person
Provider Business Mailing Address Details
Address
3737 Moraga Ave Ste B408
City
State
Zip
92117-5364
Phone Number
858-292-8885
Fax Number
858-292-0688
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
G31968 (California)
Definition
Definition to come.
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