Individual
MICHAEL WILLIAM BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.O.
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
27-3468101
NC
1744P3200X
Prosthetics Case Management
27-3468101
NC
225000000X
Orthotic Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023UX
BLUE CROSS BULE SHIELD
NC
05
—
7795511
—
NC
Enumeration date
04/24/2007
Last updated
07/18/2013
Update your record
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