Whalio Doctors

NPI 1356341309

Douglas Alan Boon, MD

Practitioner Pediatrics Physician Grand Island, NE

Practice location

Address
2444 W Faidley Ave, Grand Island, NE 68803-4327
Phone
(308) 382-1100
Fax
(308) 385-0796
Mailing address
PO Box 550, Grand Island, NE 68802-0550

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 19751 (NE)

Registry record

NPI
1356341309
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jul 2005
Record last updated
10 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.