Individual
DR. MICHAEL WAYNE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, BMT, SALT LAKE CITY, UT 84113-1103
(801) 585-3229
(801) 585-3432
Mailing address
295 CHIPETA WAY, UOFU DEPT OF PEDIATRICS-HEMONC, SALT LAKE CITY, UT 84108-1220
(801) 587-7400
(801) 587-7417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
6150957-1205
UT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
6150957-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157053
—
MT
05
—
0157063
—
MT
05
—
100510358
—
NV
05
—
123768300
—
WY
05
—
2162341
—
OH
05
—
64006950
—
KY
05
—
807569000
—
ID
05
—
D6692
—
UT
Enumeration date
07/08/2005
Last updated
01/31/2013
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