Alex R Boller, PA-C
NPI #1568449205 in Madisonville, Tennessee
Provider Information
- NPI Number
- 1568449205
- Entity Type
- Individual
- Name
- Alex R Boller, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 23, 2005
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 301 HIWASSEE COMMUNITY DR.
- City
- Madisonville
- State
- Tennessee
- ZIP Code
- 37354
- Phone
- (423) 436-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Family Medicine |
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