Richard C. Boise
MD | Pediatric Adolescent Medicine | Male
Richard C. Boise, MD is a Antioch, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Richard C. Boise is
3400 Delta Fair Blvd, Antioch, California - 94509-4004. He can be contacted on phone at
925-779-5000.
Richard C. Boise is a sole proprietor of his business.
NPI number (Unique professional ID) for Richard C. Boise is
1255483483 which was assigned by NPPES on 17 Jan, 2007 and it was last updated on 08 Jul, 2007.
Richard C. Boise license number is
G36281 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Richard C. Boise 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.
Complete Profile:
Richard C. Boise basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Richard C. Boise |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Richard C. Boise address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3400 Delta Fair Blvd
Antioch, CA, 94509-4004
United States |
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| Phone Number : | 925-779-5000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255483483 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jan, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard C. Boise are as mentioned. Primary taxonomy code for Richard C. Boise, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G36281 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Richard C. Boise such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G362810 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1800 Harrison St Fl 7
Oakland, CA, 94612-3429
United States |
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| Phone Number : | 510-625-6262 |
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Business Location:
Patients can refer following map for directions to
Richard C. Boise practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.