GARY L BOOG

ABERDEEN, WA
NPI1710051255
Professional NameGARY L BOOG
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA60037894)
Enumeration Date2006-11-17
Last Update Date2016-10-17
Business Address
-- GARY L BOOG PA-C
915 ANDERSON DR
ABERDEEN, WA 98520-1006
Phone number: 360-532-8830
Mailing Address
-- GARY L BOOG PA-C
915 ANDERSON DR
ABERDEEN, WA 98520-1006
Phone number: 360-532-8830
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