Individual
DR. BENJAMIN TRAVIS BOYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-0406
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-0406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021022533
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2022024327
MO
Other
Enumeration date
06/17/2021
Last updated
06/30/2022
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