# JACQUELYN D BOYD DO PLLC

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

## Provider details

- **NPI number:** 1205446887
- **Authorized official:** JACQUELYN DESIREE MACINTOSH DO (PHYSICIAN)
- **Authorized official phone:** (405) 321-2929

## Contact information

- **Practice address:** 3441 24TH AVE NW STE 105, NORMAN, OK 73069-6716
- **Practice address phone:** (405) 321-2929
- **Practice address fax:** (405) 366-8701
- **Mailing address:** 311 ALAMOSA RD, NORMAN, OK 73069-3128
- **Mailing address phone:** (405) 812-2504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2020
- **Last updated:** 09/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200929210A | — | OK |