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Individual

DR. STEVEN RANDOLPH BOYEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 WARNER DR, LEWISTON, ID 83501-4441
(208) 743-3523
(208) 746-8741
Mailing address
320 WARNER DR, LEWISTON, ID 83501-4441
(208) 743-3523
(208) 746-8741

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M-8179
ID
207XS0106X
Orthopaedic Hand Surgery Physician
MD00039434
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010033574
REGENCE
ID
05
806117700
ID
05
8282345
WA
01
J4555
BCI
ID
Enumeration date
09/13/2005
Last updated
04/11/2019
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