Richard C. Boise in Antioch - Adolescent Medicine
Richard C. Boise - NPI 1255483483
Richard C. Boise is a Adolescent Medicine in Antioch, California. Richard C. Boise practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Richard C. Boise is 1255483483. The last update date is 2007-07-08.
Richard C. Boise's current location address is 3400 Delta Fair Blvd, Antioch, California. You can contact this provider via phone number 9257795000. The mailing address for Richard C. Boise is 3400 Delta Fair Blvd, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard C. Boise |
|---|---|
| Address | 3400 Delta Fair Blvd, Antioch, California |
| Phone Number | 9257795000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255483483 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3400 Delta Fair Blvd |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945094004 |
| Phone Number | 9257795000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | G36281 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G362810 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Richard C. Boise by the Centers for Medicare & Medicaid Services (CMS)?
The Richard C. Boise has been assigned the NPI (National Provider Identifier) 1255483483. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Richard C. Boise is physically located?
The Richard C. Boise is physically situated at the following address: 3400 Delta Fair Blvd, Antioch, CA, 945094004.
What is the area of specialization for Richard C. Boise, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard C. Boise is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
When did the Richard C. Boise receive its 1255483483?
The Richard C. Boise was issued its 1255483483 on 2007-01-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Richard C. Boise, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard C. Boise, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA