Individual
DR. DANIEL STREET BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2911 BRUNSWICK RD, MEMPHIS, TN 38133-4105
(901) 377-4700
Mailing address
PO BOX 381693, GERMANTOWN, TN 38183-1693
(901) 405-6460
(901) 747-2338
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD021833
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191922
BLUE CROSS
TN
05
—
3082265
—
TN
01
—
MD021833
MEDICAL LICENSE
TN
Enumeration date
05/23/2005
Last updated
01/21/2008
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