Individual
DR. BOYD JENSEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
222 WALNUT AVE SW, ROANOKE, VA 24016-4723
(540) 344-3668
Mailing address
222 WALNUT AVE SW, ROANOKE, VA 24016-4723
(540) 344-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
EL6674
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301172
VA
Other
Enumeration date
07/18/2014
Last updated
06/28/2019
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