Organization
EDGAR M. BOYD, JR. M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR MORRIS BOYD JR. M.D. (PHYSCIAN)
(918) 682-4580
Entity
Organization
Contact information
Practice address
101 ROCKEFELLER DR STE 203, MUSKOGEE, OK 74401-5050
(918) 682-4580
(918) 681-4566
Mailing address
101 ROCKEFELLER DR, STE 203, MUSKOGEE, OK 74401
(918) 682-4580
(918) 681-4566
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18352
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100848310A
—
OK
01
—
7214386
AETNA
OK
Enumeration date
11/17/2008
Last updated
11/17/2008
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