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Individual

ANDREW BOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-3650
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-3650

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301094950
MI
2085R0202X
Diagnostic Radiology Physician
MD170012
OR
2085R0202X
Diagnostic Radiology Physician
MD60506991
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6700665
VT
Enumeration date
07/20/2009
Last updated
01/04/2021
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