DR. Gregory A Boomer

NPI #1326110354 in Susanville, California

Provider Information

NPI Number: 1326110354
Entity Type: Individual
Name: DR. Gregory A Boomer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Nov 14, 2006
Last Updated: Jun 5, 2008

Practice Location

Address: 607 A COTTAGE ST
City: Susanville
State: California
ZIP Code: 96130-4303
Phone: (530) 257-4424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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