Individual
SARA ANNE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1025 E. 7TH STREET, RM C200, SCHOOL OF PUBLIC HEALTH, INDIANA UNIVERSITY, BLOOMINGTON, IN 47405
(812) 855-3114
(812) 856-2596
Mailing address
1025 E. 7TH STREET, RM C200, SCHOOL OF PUBLIC HEALTH, INDIANA UNIVERSITY, BLOOMINGTON, IN 47405
(812) 855-3114
(812) 856-2596
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
36002176A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200001358
BOC FOR ATHLETIC TRAINING
IN
Enumeration date
01/13/2015
Last updated
01/13/2015
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