Individual
DR. SAMUEL J. BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3417 ENSIGN RD NE, OLYMPIA, WA 98506
(360) 493-4600
(360) 493-4603
Mailing address
3417 ENSIGN RD NE, OLYMPIA, WA 98506-5064
(360) 493-4600
(360) 493-4603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101256955
VA
2085R0202X
Diagnostic Radiology Physician
4301088520
MI
2085R0202X
Diagnostic Radiology Physician
Primary
MD60681523
WA
2085R0204X
Vascular & Interventional Radiology Physician
54901
MN
2085R0204X
Vascular & Interventional Radiology Physician
MD60681523
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0375504
LABOR & INDUSTRY
WA
05
—
2068886
—
WA
Enumeration date
05/07/2007
Last updated
05/24/2018
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