Provider Demographics
NPI:1548568249
Name:BOYDEN, JOHN STERLING JR (MD JD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:STERLING
Last Name:BOYDEN
Suffix:JR
Gender:M
Credentials:MD JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 YALECREST AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1844
Mailing Address - Country:US
Mailing Address - Phone:801-582-1942
Mailing Address - Fax:
Practice Address - Street 1:1942 YALECREST AVE
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1844
Practice Address - Country:US
Practice Address - Phone:801-582-1942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT151081-1205209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes209800000XAllopathic & Osteopathic PhysiciansLegal Medicine