Wednesday, August 10, 2022

MARK A. BOOHER , M.D. in AVON – NPI – 1447245527

MARK A. BOOHER , M.D. in AVON - NPI - 1447245527

MARK A. BOOHER is a dentist based out of PLAINFIELD,Indiana MARK practices in AVON,Indiana and has the professional credentials of M.D. .The NPI Number for MARK A. BOOHER is 1447245527 and he holds a Licence No. 01057723A(Indiana).

MARK current practice location address is 1100 SOUTHFIELD DR,SUITE 1370,PLAINFIELD,Indiana and he can be reached out via phone at 3177184263 and via fax at3172727855. You can also correspond with MARK A. BOOHER through mail at his mailing address at301 SATORI PKWY,SUITE 120,AVON,Indiana – 461236405 (mailing address contact number – 461684498).

Provider Profile Details

Credential
NPI Number 1447245527
Provider Name MARK A. BOOHER
M.D.
Gender 44258
Provider Entity Type Individual
Provider Enumeration Date 207QS0010X
Last Update Date 38610

Provider Business Mailing Address Details

Address 1100 SOUTHFIELD DR,SUITE 1370
City PLAINFIELD
State Indiana
Zip 461684498
Phone Number 3178375571

Provider Business Practice Location Address Details

Address 301 SATORI PKWY,SUITE 120
City AVON
State Indiana
Zip 461236405
Phone Number 3177184263

Provider's Primary Taxonomy Details

Taxonomy 207QS0010X
License No. 01057723A
State Indiana

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