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Individual

DR. WALTER A BOYLE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44791 BAYWOOD DR, MENDOCINO, CA 95460-9527
(314) 324-3425
Mailing address
44791 BAYWOOD DR, MENDOCINO, CA 95460-9527
(314) 324-3425
(314) 362-1185

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036.148697
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
G49981
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
R6H50
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202577300
MO
05
ENROLLED
IL
Enumeration date
07/18/2006
Last updated
05/11/2022
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