Judith Alison Boomer, PA

NPI #1912960733 in Lubbock, Texas

Provider Information

NPI Number: 1912960733
Entity Type: Individual
Name: Judith Alison Boomer, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 11, 2006
Last Updated: May 10, 2016

Practice Location

Address: 4515 MARSHA SHARP FWY
City: Lubbock
State: Texas
ZIP Code: 79407-2520
Phone: (806) 744-7223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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