Provider Demographics
NPI:1003513300
Name:JAMES R BOYED MD PLLC
Entity Type:Organization
Organization Name:JAMES R BOYED MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-298-2319
Mailing Address - Street 1:6548 E CARONDELET DR BLDG E
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2117
Mailing Address - Country:US
Mailing Address - Phone:520-298-2319
Mailing Address - Fax:520-298-7811
Practice Address - Street 1:6548 E CARONDELET DR BLDG E
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2117
Practice Address - Country:US
Practice Address - Phone:520-298-2319
Practice Address - Fax:520-298-7811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty