Individual
RICHARD A BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N MEDICAL DR, ASH GROVE, MO 65604-1005
(417) 751-2100
Mailing address
PO BOX 939, BOLIVAR, MO 65613-0939
(417) 328-6342
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01265
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NO NUMBER AVAILABLE
MO
Enumeration date
08/18/2006
Last updated
01/17/2011
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