Individual
BRADLEY D BOYLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
955 HIGH ST, STE 2, DECATUR, IN 46733-2326
(260) 724-8700
(260) 728-3821
Mailing address
6771 N 200 E, DECATUR, IN 46733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000289A
IN
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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