Individual
CASEY J BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-4736
(319) 396-1983
(319) 396-3183
Mailing address
2375 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-4736
(319) 396-1983
(319) 396-3183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33714
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080176890
RR MEDICARE
IA
05
—
1669459921
—
IA
05
—
2203042
—
IA
05
—
3203042
—
IA
05
—
5203042
—
IA
Enumeration date
12/28/2005
Last updated
05/16/2012
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