Marvin R. Boren is a Podiatrist in Canton, Ohio. Marvin R. Boren practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Marvin R. Boren is 1356322283. The last update date is 2008-01-09.
Marvin R. Boren's current location address is 4642 Hills Dales Rd Nw, Canton, Ohio. You can contact this provider via phone number 3304774400. The mailing address for Marvin R. Boren is 4642 Hills Dales Rd Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin R. Boren |
|---|---|
| Address | 4642 Hills Dales Rd Nw, Canton, Ohio |
| Phone Number | 3304774400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1356322283 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 4642 Hills Dales Rd Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 44708 |
| Phone Number | 3304774400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 36001949 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 433169 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marvin R. Boren by the Centers for Medicare & Medicaid Services (CMS)?
The Marvin R. Boren has been assigned the NPI (National Provider Identifier) 1356322283. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Marvin R. Boren is physically located?
The Marvin R. Boren is situated at the following address: 4642 Hills Dales Rd Nw, Canton, OH 44708.
What is Marvin R. Boren's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marvin R. Boren's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date was the 1356322283 assigned to Marvin R. Boren?
The Marvin R. Boren was issued its 1356322283 on 2005-11-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Marvin R. Boren last refreshed?
The information related to the Marvin R. Boren, including its address, specialty, and other relevant details, was last updated on 2008-01-09.