Individual
DR. BOYD LEWIS HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
2860 CHANNING WAY, STE 100A, IDAHO FALLS, ID 83404-7531
(208) 535-4567
(208) 535-4569
Mailing address
2860 CHANNING WAY, STE 100A, IDAHO FALLS, ID 83404-7531
(208) 535-4567
(208) 535-4569
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M3747
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002478100
—
ID
Enumeration date
10/05/2006
Last updated
06/13/2013
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