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Individual

BRYAN S BOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1861 POWDER MILL RD, YORK, PA 17402-4723
(717) 718-2000
(717) 718-3460
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
D182697
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN546242
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002014777
HIGHMARK
PA
01
3429152000
INDEPENDENCE BLUE CROSS
PA
01
50075158
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
01
P00467179
RR MEDICARE
PA
Enumeration date
02/06/2008
Last updated
02/25/2025
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