Organization · Type 2 NPI
MSP Boone Clinic, PLLC
Primary Podiatric Medicine Podiatrist · Jefferson, NC
NPI number
1013782804
Active
Practice location
200 Hospital Ave Fl 3
Jefferson, NC 28640-9244
Fax (828) 252-2272
Mailing address
610 State Farm Rd Ste C
Boone, NC 28607-4713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | None listed |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1013782804
MSP Boone Clinic, PLLC's National Provider Identifier is 1013782804, issued on Nov 21, 2023. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Jefferson, NC. The record was last updated on Nov 29, 2023.