Individual
BRADLEY JAY BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
35247 ATLANTIC AVE, MILLVILLE, DE 19967-6912
(302) 829-1015
(302) 829-1016
Mailing address
35247 ATLANTIC AVE, MILLVILLE, DE 19967-6912
(302) 829-1015
(302) 929-1016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001065
DE
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
MA055454
PA
Other
Enumeration date
04/19/2012
Last updated
04/10/2024
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