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Individual

MR. RANDY BOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4401 E LOHMAN AVE, LAS CRUCES, NM 88011-8267
(575) 532-9077
(575) 532-9221
Mailing address
4401 E LOHMAN AVE, LAS CRUCES, NM 88011-8267
(575) 532-9077
(575) 532-9221

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
94-PA06
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00099985
NM
Enumeration date
01/06/2006
Last updated
09/22/2020
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