Individual
DR. BRYANT A BOYACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 321-4200
Mailing address
3004 E NORA ST, MESA, AZ 85213-1619
(623) 337-0968
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
005310
AZ
Other
Enumeration date
06/01/2007
Last updated
02/15/2012
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