Individual
MICHELLE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1485 N TURQUOISE DR, SUITE 200, FLAGSTAFF, AZ 86001-1398
(928) 774-7757
(928) 226-3071
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2662
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
725278
—
AZ
Enumeration date
06/25/2006
Last updated
03/24/2021
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