Individual
CRYSTAL AMOS BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 CREEKWOOD CT, SPRINGFIELD, OH 45504-4056
(937) 327-0552
(937) 327-0556
Mailing address
2555 CREEKWOOD CT, SPRINGFIELD, OH 45504-4056
(937) 327-0552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-06-3808-A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0978278
—
OH
Enumeration date
10/13/2005
Last updated
04/25/2014
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