Organization · Type 2 NPI

Jeffrey S Boberg DPM LLC

Foot & Ankle Surgery Podiatrist · Belleville, IL

NPI number 1710147236 Active

Practice location

180 S 3rd St, Ste 103
Belleville, IL 62220-1952

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016004233 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1710147236

Jeffrey S Boberg DPM LLC's National Provider Identifier is 1710147236, issued on Jun 10, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Belleville, IL. The record was last updated on Jul 17, 2008.