Individual
JASON BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 703-1443
(219) 513-1127
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01093262A
IN
207L00000X
Anesthesiology Physician
38598
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300088971
—
IN
Enumeration date
04/02/2018
Last updated
08/07/2024
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