Individual
MR. JERRY RICHARD BOYD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FP-C / NCP
Contact information
Practice address
2916 N UNIVERSITY AVE, LAFAYETTE, LA 70507-4039
(337) 291-3379
Mailing address
2916 N UNIVERSITY AVE, LAFAYETTE, LA 70507-4039
(337) 291-3379
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
0003545 (BCCTPC)
—
146L00000X
Paramedic
707579
TX
146L00000X
Paramedic
M0916413 (NATL REG)
—
1710I1002X
Independent Duty Corpsman
—
—
174400000X
Specialist
Primary
2827687 (USCG LIC)
—
Other
Enumeration date
05/09/2007
Last updated
11/20/2016
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