Dusty James Boyd
Family Medicine in Jonesboro, AR. Individual provider (NPI-1).
NPI number1306289608
StatusActive
Last updated in NPPESNov 1, 2022
Details
- NPI
- 1306289608
- Entity type
- Individual (NPI-1)
- Name
- Dusty James Boyd
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2013
- Certification date
- Nov 1, 2022
- Last updated
- Nov 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E9222 | AR | Yes |
Practice location
223 E Jackson AveJonesboro, AR 72401-3119
Phone 870-972-0063
Mailing address
220 Miller RdHuntingdon, TN 38344-8450
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