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Organization
JACQUELYN D BOYD DO PLLC
Active
Organization
JACQUELYN D BOYD DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN DESIREE MACINTOSH DO (PHYSICIAN)
(405) 321-2929
Entity
Organization
Contact information
Practice address
3441 24TH AVE NW STE 105, NORMAN, OK 73069-6716
(405) 321-2929
(405) 366-8701
Mailing address
311 ALAMOSA RD, NORMAN, OK 73069-3128
(405) 812-2504
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200929210A
—
OK
Enumeration date
08/07/2020
Last updated
09/16/2020
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