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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 LlcInferred 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