Organization
BOYD L HAMMOND MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD L. HAMMOND MD (PRESIDENT)
(208) 529-0798
Entity
Organization
Contact information
Practice address
2065 E 17TH ST, SUITE A, IDAHO FALLS, ID 83404-8042
(208) 529-0798
(208) 528-9546
Mailing address
2065 E 17TH ST, SUITE A, IDAHO FALLS, ID 83404-8042
(208) 529-0798
(208) 528-9546
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M3747
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M3747
BLUE CROSS
ID
Enumeration date
11/30/2006
Last updated
08/22/2020
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