Provider Demographics
NPI:1407186612
Name:BOYD, RICHARD PAUL (DO, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:BOYD
Suffix:
Gender:M
Credentials:DO, PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:BROOKE ARMY MEDICAL CENTER (BAMC), SAUSHEC ANESTHESIA R
Mailing Address - Street 2:3551 ROGER BROOKE DR
Mailing Address - City:JBSA-FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-916-8666
Mailing Address - Fax:210-916-8712
Practice Address - Street 1:BROOKE ARMY MEDICAL CENTER (BAMC), SAUSHEC ANESTHESIA R
Practice Address - Street 2:3551 ROGER BROOKE DR
Practice Address - City:JBSA- FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-8666
Practice Address - Fax:210-916-8712
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03331146-3OtherPHARMACY LICENSE