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Individual

BOYD E TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 HOSPITAL DR, MCANEY 222, COLUMBIA, MO 65212-1000
(573) 882-0515
Mailing address
1 HOSPITAL DR, MCANEY 222, COLUMBIA, MO 65212-1000
(573) 882-0515

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD27464
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200469203
MO
01
810000101
RR MEDICARE
MO
01
P00415776
RAILROAD MEDICARE
MO
Enumeration date
06/01/2006
Last updated
07/19/2013
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