Provider Demographics
NPI:1902388358
Name:BOE, HALEIGH MCCUE (MSPA, PA-C)
Entity Type:Individual
Prefix:
First Name:HALEIGH
Middle Name:MCCUE
Last Name:BOE
Suffix:
Gender:F
Credentials:MSPA, PA-C
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1660 HOTEL CIRCLE NORTH SUITE 320
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7625 MESA COLLEGE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-5343
Practice Address - Country:US
Practice Address - Phone:858-223-2172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-02
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant