NPI 1003164161

Michael Boese

Practitioner Athletic Trainer Tucson, AZ

Practice location

Address: 9642 E Rand Pl, Tucson, AZ 85715-5832
Phone: (520) 733-3267

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0261 (AZ)

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Registry record

NPI: 1003164161
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2012
Record last updated: 21 Aug 2012

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.