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Individual
TARA BOYD
Active
Individual
TARA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
2000030087
AR
2255A2300X
Athletic Trainer
Primary
2000030087
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2017
Last updated
08/30/2017
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