| Keith Boston, M.d. Family Practice | |
|
3150 Gilmore St Placerville CA 95667-5500 | |
| (530) 622-4884 | |
| (530) 622-1303 |
| Full Name | Keith Boston, M.d. Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 3150 Gilmore St, Placerville, California |
| Authorized Official Name and Position | Keith J Boston (OWNER) |
| Authorized Official Contact | 5306224884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Boston, M.d. Family Practice 3150 Gilmore St Placerville CA 95667-5500 Ph: (530) 622-4884 | Keith Boston, M.d. Family Practice 3150 Gilmore St Placerville CA 95667-5500 Ph: (530) 622-4884 |
| NPI Number | 1013104975 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013104975 | NPI | - | NPPES |
| 00G535530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G53533 (California) | Primary |
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Precision Eyecare Optometry Placerville Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Main St, Placerville, CA 95667 Phone: 530-622-8300 Fax: 530-622-8304 | |
El Dorado County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 Spring Street, Placerville, CA 95667 Phone: 530-621-6100 Fax: 530-295-2501 | |
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