Individual provider · Type 1 NPI
Christopher Lawrence Boeke, PA-C
Medical Physician Assistant · San Tan Valley, AZ
NPI number
1619644408
Active
Practice location
270 E Hunt Hwy Ste A2
San Tan Valley, AZ 85143-4962
Fax (480) 882-2220
Mailing address
1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028
Other practice locations
- 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050-4282 · (480) 563-1144
- 3011 S Lindsay Rd Ste 101, Gilbert, AZ 85295-4333 · (480) 726-2500
- 2919 S Ellsworth Rd Ste 111, Mesa, AZ 85212-2165 · (480) 564-1185
- 2145 E Warner Rd Ste 104, Tempe, AZ 85284-3549 · (480) 664-9443
- 14239 W Bell Rd Ste 108, Surprise, AZ 85374-2470 · (623) 248-4283
- 1277 E Missouri Ave Ste 101, Phoenix, AZ 85014-2916 · (602) 296-4060
- 15256 N 75th Ave Ste 360, Peoria, AZ 85381-4761 · (623) 486-2424
- 3130 E Baseline Rd Ste 107, Mesa, AZ 85204-7290 · (480) 345-1980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7057360001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7034950001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 8220410001 (AZ) |
| Medical Physician Assistant Primary | 363AM0700X | 8019 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7046960001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7939960001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7047150001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7629170001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7209350001 (AZ) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7045160001 (AZ) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in San Tan Valley
About NPI 1619644408
Christopher Lawrence Boeke, PA-C's National Provider Identifier is 1619644408, issued on Aug 27, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jul 17, 2023.