Organization
SUSAN K BOYER, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN BOYER MD (PSYCHIATRIST)
(314) 725-1515
Entity
Organization
Contact information
Practice address
9890 CLAYTON RD, SUITE 100, SAINT LOUIS, MO 63124-1685
(314) 725-1515
(314) 222-6321
Mailing address
9890 CLAYTON RD, SUITE 100, SAINT LOUIS, MO 63124-1685
(314) 725-1515
(314) 222-6321
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
103713
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780733832
INDIVIDUAL NPI
MO
Enumeration date
11/14/2011
Last updated
02/13/2012
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