Individual
ALEXIS BOYATSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 432-1500
Mailing address
1 PARKLAND DR, DERRY, NH 03038-2746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0936
NH
Other
Enumeration date
04/14/2013
Last updated
04/14/2013
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