Individual provider · Type 1 NPI

Gary L. Boog, PA-C

Medical Physician Assistant · Aberdeen, WA

NPI number 1710051255 Active

Practice location

915 Anderson Dr
Aberdeen, WA 98520-1006

Call (360) 532-8830 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60037894 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1710051255

Gary L. Boog, PA-C's National Provider Identifier is 1710051255, issued on Nov 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aberdeen, WA. The record was last updated on Oct 17, 2016.