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Individual

PHILLIP DAVID BOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1055 S STAPLEY DR, MESA, AZ 85204
(480) 892-8400
(480) 654-2868
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
005247
AZ
207W00000X
Ophthalmology Physician
5101017038
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
434207
AZ
Enumeration date
07/27/2007
Last updated
05/02/2019
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