Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Surgical Assistant |
246ZC0007X |
| NPI # | 1033700059 |
| LBN Legal business name | BOARDMAN SURGICAL LLC |
| Authorized official | ELLIE BOARDMAN - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/02/2021 |
| Last updated | 02/03/2021 - About 5 years ago |
| Identifiers | n/a |
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BOARDMAN SURGICAL LLC
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BOARDMAN SURGICAL LLC