Provider Demographics
NPI:1770539843
Name:BOYNTON, DAVID R (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:BOYNTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 YELLOW PINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2264
Mailing Address - Country:US
Mailing Address - Phone:303-449-7887
Mailing Address - Fax:
Practice Address - Street 1:1280 YELLOW PINE AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-2264
Practice Address - Country:US
Practice Address - Phone:303-449-7887
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5625111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor