Individual
MARY EASTIS BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
52 MEDICAL PARK DR E, SUITE 321, BIRMINGHAM, AL 35235-3434
(205) 838-3055
(205) 838-3517
Mailing address
52 MEDICAL PARK DR E, SUITE 321, BIRMINGHAM, AL 35235-3434
(205) 838-3055
(205) 838-3517
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-02139
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51130196
BLUE CROSS-BLUE SHIELD OF AL
AL
Enumeration date
12/16/2008
Last updated
11/27/2012
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