Msp Boone Clinic, Pllc
NPI #1013782804 in Jefferson, North Carolina
Provider Information
- NPI Number
- 1013782804
- Entity Type
- Organization
- Organization Name
- Msp Boone Clinic, Pllc
- Primary Specialty
- Podiatrist - Primary Podiatric Medicine
- Enumeration Date
- Nov 21, 2023
- Last Updated
- Nov 29, 2023
Practice Location
- Address
- 200 HOSPITAL AVE FL 3
- City
- Jefferson
- State
- North Carolina
- ZIP Code
- 28640-9244
- Phone
- (828) 265-9662
Authorized Official
- Name
- JONATHAN D TENLEY, DPM
- Title
- AUTHORIZED OFFICIAL
- Phone
- (828) 265-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine |
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