Individual
DR. THOMAS MICHAEL BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 MARGARET LANE, STE B2, GRASS VALLEY, CA 95945
(530) 274-3509
(530) 272-2072
Mailing address
123 MARGARET LANE, STE B2, GRASS VALLEY, CA 95945
(530) 274-3509
(530) 272-2072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G56911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G569110
—
CA
Enumeration date
07/05/2006
Last updated
11/25/2008
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