Individual
ETHAN BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 CENTER ST STE 3104, MOBILE, AL 36604-1541
(251) 665-8200
(251) 665-8255
Mailing address
1601 CENTER ST STE 3104, MOBILE, AL 36604-1541
(251) 665-8200
(251) 665-8255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L.6193
AL
208600000X
Surgery Physician
LL87746
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
10/08/2024
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