Provider Demographics
NPI:1174596175
Name:TOY, BEAU JAMES WALKER (MEDICAL DOCTOR)
Entity type:Individual
Prefix:
First Name:BEAU JAMES
Middle Name:WALKER
Last Name:TOY
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:BEAUJAMES
Other - Middle Name:WALKER
Other - Last Name:TOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:624 SOUTH TONOPAH DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106
Mailing Address - Country:US
Mailing Address - Phone:702-436-9100
Mailing Address - Fax:702-685-9991
Practice Address - Street 1:624 SOUTH TONOPAH DRIVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106
Practice Address - Country:US
Practice Address - Phone:702-436-9100
Practice Address - Fax:702-685-9991
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV82232085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP00718339OtherRAIL ROAD MEDICARE
NVP00718339OtherRAIL ROAD MEDICARE
G47829Medicare UPIN