NPI 1013782804
Msp Boone Clinic, PLLC
Practice location
- Address
- 200 Hospital Ave Fl 3, Jefferson, NC 28640-9244
- Phone
- (828) 265-9662
- Fax
- (828) 252-2272
- Mailing address
- 610 State Farm Rd STE C, Boone, NC 28607-4713
Authorised official
- Name
- Jonathan D Tenley
- Title
- Authorized Official
- Phone
- (828) 265-3668
Registered specialties
Primary Podiatric Medicine Podiatrist
Primary
Registry record
- NPI
- 1013782804
- Entity type
- Organization
- NPI issued
- 21 Nov 2023
- Record last updated
- 29 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.