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
| 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 |