Individual
DR. JUDITH M BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-2690
(307) 688-1420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5772A
WY
208000000X
Pediatrics Physician
5772A
WY
208M00000X
Hospitalist Physician
Primary
5772A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120624900
—
WY
Enumeration date
06/16/2006
Last updated
12/29/2020
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