Individual
DR. DANIEL STREET BOYD
Active
Individual
DR. DANIEL STREET BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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