Organization
BRUCE BOYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE K. BOYD D.P.M. (DR.)
(662) 286-2700
Entity
Organization
Contact information
Practice address
211 ALCORN DR, CORINTH, MS 38834-8400
(662) 286-2700
(662) 286-2773
Mailing address
211 ALCORN DR, CORINTH, MS 38834-8400
(662) 286-2700
(662) 286-2773
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
80100
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110447
—
MS
05
—
3351600
—
TN
Enumeration date
04/08/2008
Last updated
10/08/2010
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