Individual
DIANNA L BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10701 ALLIANCE DR STE A, CAMBY, IN 46113-8837
(317) 856-7083
(317) 856-7332
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036057A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159840
—
IN
01
—
1033110564
GROUP NPI NUMBER
IN
05
—
200092590
—
IN
Enumeration date
08/12/2005
Last updated
03/22/2023
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