Randolph Roy Boespflug in Florence - Family Medicine

Randolph Roy Boespflug - NPI 1750559605

Randolph Roy Boespflug is a Family Medicine in Florence, Oregon. Randolph Roy Boespflug practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Randolph Roy Boespflug is 1750559605. The last update date is 2009-12-08.

Randolph Roy Boespflug's current location address is 380 9th St, Florence, Oregon. You can contact this provider via phone number 5419977134 and fax number 5419979650. The mailing address for Randolph Roy Boespflug is 380 9th St, Florence, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Randolph Roy Boespflug
Address 380 9th St, Florence, Oregon
Phone Number 5419977134
Fax Number 5419979650
Sole Proprietor N
Credentials MD MBA

NPI Number Detail

NPI Number 1750559605
Provider Enumeration Date 2008-02-13
Last Updated Date 2009-12-08

Provider Mailing Address Detail

Address 380 9th St
City Florence
State Oregon (OR)
Post Code 974399470
Phone Number 5419977134
Fax Number 5419979650

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD15363
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
177659 OR DMAP
1750559605 OR NPI

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FAQs about Randolph Roy Boespflug

What is the unique 10-digit identification code issued to Randolph Roy Boespflug by the Centers for Medicare & Medicaid Services?

The Randolph Roy Boespflug has been assigned the NPI (National Provider Identifier) 1750559605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Randolph Roy Boespflug is located?

The Randolph Roy Boespflug is situated at the following address: 380 9Th St, Florence, OR, 974399470.

What is Randolph Roy Boespflug's specialized field of practice, and what is the corresponding taxonomy classification code?

The Randolph Roy Boespflug's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did Randolph Roy Boespflug receive its 1750559605 assignment from the Centers for Medicare & Medicaid Services?

The Randolph Roy Boespflug was assigned its 1750559605 on 2008-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Randolph Roy Boespflug's details last updated?

The information pertaining to the Randolph Roy Boespflug, including its address, specialty, and other details, was most recently updated on 2009-12-08.

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