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Gary L Boog, PA-C
Medical Physician Assistant in Aberdeen, Washington
NPI 1710051255

Gary L Boog is a Medical Physician Assistant based in Aberdeen, WA and is specialized in Medical. Gary L Boog practices in Aberdeen, WA and has the professional credentials of PA-C. The NPI Number for Gary L Boog is 1710051255 and holds a License No. PA60037894 (Washington).

The current practice location address for Gary L Boog is 915 Anderson Dr, Aberdeen, WA and can be reached out via phone at 360-532-8830.

Location: 915 Anderson Dr, Aberdeen, WA, 98520-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710051255
Provider Name
Gary L Boog
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
915 Anderson Dr, Aberdeen, WA, 98520-1006
Phone Number
360-532-8830
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
915 Anderson Dr
City
Aberdeen
State
Washington
Zip
98520-1006
Phone Number
360-532-8830
Fax Number
person
Provider Business Mailing Address Details
Address
915 Anderson Dr
City
Aberdeen
State
Washington
Zip
98520-1006
Phone Number
360-532-8830
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA60037894 (Washington)
Definition
Definition to come...
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