Individual
JON D BOYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 W 5TH AVE, SUITE 1000, SPOKANE, WA 99204-2966
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
(509) 755-6580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00045242
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00045242
WA
Other
Enumeration date
10/31/2006
Last updated
04/18/2014
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