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Individual

MARC G BOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
311 W LINCOLN ST, BELLEVILLE, IL 62220-1902
(618) 213-7943
(618) 213-7944
Mailing address
311 W LINCOLN ST STE 200, BELLEVILLE, IL 62220-1902
(618) 213-7943
(618) 213-7944

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085002179
IL
363AM0700X
Medical Physician Assistant
Primary
085002179
IL

Other

Enumeration date
10/02/2006
Last updated
07/25/2024
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