DR. Colette Poole-Boykin, M.D

NPI #1376938399 in Lackland Afb, Texas

Provider Information

NPI Number: 1376938399
Entity Type: Individual
Name: DR. Colette Poole-Boykin, M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: M.D
Enumeration Date: Apr 6, 2015
Last Updated: Apr 8, 2015

Practice Location

Address: 2200 BERGQUIST DR STE 1
Address 2: STE 1
City: Lackland Afb
State: Texas
ZIP Code: 78236-9908
Phone: (210) 916-8687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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