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Individual

DAVID PAUL BOYSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 12TH AVE, SUITE 101, CORALVILLE, IA 52241-1774
(319) 337-3177
(319) 341-0024
Mailing address
501 12TH AVE, SUITE 101, CORALVILLE, IA 52241-1774
(319) 337-3177
(319) 341-0024

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29028
IA
207ND0101X
MOHS-Micrographic Surgery Physician
29028
IA
207ND0900X
Dermatopathology Physician
29028
IA
207NP0225X
Pediatric Dermatology Physician
29028
IA
207NS0135X
Procedural Dermatology Physician
29028
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000VY5810
UHC OF RIVER VALLEY
IA
05
0108225
IA
01
15386
WELLMARK BCBS
IA
Enumeration date
10/25/2006
Last updated
07/28/2008
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