# JAMES R BOYLE MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154938173
- **Authorized official:** JAMES R BOYLE MD (OWNER)
- **Authorized official phone:** (479) 273-1111

## Contact information

- **Practice address:** 1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
- **Practice address phone:** (479) 273-1111
- **Practice address fax:** (479) 273-1255
- **Mailing address:** 1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
- **Mailing address phone:** (479) 273-1111
- **Mailing address fax:** (479) 273-1255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 02/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 216515001 | — | AR |