SearchIowa320800000X

Bruce Boehm

NPI 1437719937 · on the registry since 2019 · sole proprietor

Practice

Address
205 N Iowa St
Knoxville, IA 50138
Phone
(641) 842-4618
Organisation at this address
Knoxville Residential, Llc
Community Care Of Knoxville Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
320800000X
320800000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa