A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Developmental - Behavioral Pediatrics |
2080P0006X | 37 | Physician/Pediatric Medicine |
| NPI # | 1346838992 |
| LBN Legal business name | BOUNDLESS HEALTH, INC. |
| Authorized official | DERRICK YOUNG - (CONTRACTING CREDENTIALING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/08/2021 |
| Last updated | 10/20/2021 - About 5 years ago |
| Identifiers | n/a |
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BOUNDLESS HEALTH, INC.
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