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Individual

MICHAEL B BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
(812) 476-6867
Mailing address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
(812) 476-6867

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02003050A
IN
207X00000X
Orthopaedic Surgery Physician
20A8775
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
02003050A
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
20A8775
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200829840
IN
Enumeration date
06/02/2006
Last updated
01/14/2014
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