Individual
DR. PAMELA L SUFKA-BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1410 SW TRADITION DR, STE 120, ANKENY, IA 50023
(515) 875-9040
(515) 875-9041
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9313
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-02951
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080106294
RR MEDICARE
IA
05
—
1125054
—
IA
05
—
1528046117
—
IA
05
—
2125054
—
IA
05
—
3125054
—
IA
05
—
4125054
—
IA
Enumeration date
01/04/2006
Last updated
08/17/2021
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