Provider Demographics
NPI:1508961483
Name:TOWNSEND, BOYD EDWARD JR (RT(R))
Entity Type:Individual
Prefix:MR
First Name:BOYD
Middle Name:EDWARD
Last Name:TOWNSEND
Suffix:JR
Gender:M
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 OWINGS ST
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-2338
Mailing Address - Country:US
Mailing Address - Phone:304-748-3401
Mailing Address - Fax:866-286-5782
Practice Address - Street 1:159 OWINGS ST
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-2338
Practice Address - Country:US
Practice Address - Phone:304-748-3401
Practice Address - Fax:866-286-5782
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV215655247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist