Provider Demographics
NPI:1255315354
Name:CURTIS BOYD MD PC
Entity Type:Organization
Organization Name:CURTIS BOYD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARBAGNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-242-7512
Mailing Address - Street 1:522 LOMAS BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102
Mailing Address - Country:US
Mailing Address - Phone:505-242-7512
Mailing Address - Fax:505-242-0540
Practice Address - Street 1:522 LOMAS BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102
Practice Address - Country:US
Practice Address - Phone:505-242-7512
Practice Address - Fax:505-242-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM459Medicaid
NMNM000353OtherBCBS GROUP #
NM00044116Medicaid
NM44116Medicaid