Organization
DR. THOMAS R. BOYER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R BOYER DC (CHIROPRACTOR/OWNER)
(208) 743-1424
Entity
Organization
Contact information
Practice address
717 D ST, LEWISTON, ID 83501-1826
(208) 743-1424
(208) 743-2803
Mailing address
717 D ST, LEWISTON, ID 83501-1826
(208) 743-1424
(208) 743-2803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA530
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386628337
MEDICARE NPI
ID
01
—
1568806156
MEDICARE NPI
ID
01
—
1672073
MEDICARE PTAN
ID
Enumeration date
04/25/2013
Last updated
06/27/2013
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