Individual
BOYD F ADDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2008 TWIN CITY DR, MANDAN, ND 58554
(701) 667-1000
(701) 667-0707
Mailing address
2008 TWIN CITY DR, MANDAN, ND 58554
(701) 667-1000
(701) 667-0707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4124
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13249
—
ND
01
—
25171
BLUE SHIELD OF ND
ND
Enumeration date
03/20/2006
Last updated
07/08/2007
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