Individual
DR. RODERICK RENE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 W OAK ST STE 601, EL DORADO, AR 71730-4538
(870) 863-2515
Mailing address
71 WILLOW GREEN DR, JACKSON, TN 38305-9757
(870) 816-5715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18052
MS
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
32355
OK
208600000X
Surgery Physician
18052
MS
208600000X
Surgery Physician
Primary
E-2313
AR
208600000X
Surgery Physician
MD427685
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022246960001
—
PA
05
—
139088001
—
AR
01
—
261891
UNISON-WMG
PA
01
—
389133
HIGHMARK BLUE SHIELD
PA
01
—
823482
FIRST PRIORITY HEALTH
PA
Enumeration date
07/19/2006
Last updated
11/18/2024
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