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Individual
BOYD C MARTS
Active
Individual
BOYD C MARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01042443
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
12114
ND
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D90180
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083892
ANTHEM
—
01
—
060037920
RAILAROAD MEDICARE
—
05
—
200102110A
—
IN
01
—
TRICARE
CB8082
—
Enumeration date
10/11/2006
Last updated
05/10/2021
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