Individual
JOHN C BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9310 N DIVISION ST, SPOKANE, WA 99218-1227
(509) 789-2836
(509) 789-3113
Mailing address
601 W 5TH AVE, SUITE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149520
REGENCE BLUE SHIELD OF ID
ID
01
—
180730
DEPT OF LABOR & INDUSTRIE
WA
01
—
2595BO
ASURIS NW HEALTH
WA
01
—
379109600
OWCP
WA
01
—
7367
GROUP HEALTH NW
WA
05
—
8374761
—
WA
01
—
8931641
CRIME VICTIMS
WA
01
—
970000816
RR MEDICARE
WA
01
—
KQ563
BLUE CROSS OF IDAHO
ID
Enumeration date
03/15/2006
Last updated
11/15/2024
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