Samantha Jo Boyer
Family Medicine in Nebraska City, NE. Individual provider (NPI-1).
NPI number1669976080
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1669976080
- Entity type
- Individual (NPI-1)
- Name
- Samantha Jo Boyer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2018
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2383 | NE | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1301 Grundman Blvd Ste ANebraska City, NE 68410-3320
Phone 402-873-4242
Mailing address
1301 Grundman Blvd Ste ANebraska City, NE 68410-3320
Phone 402-873-4242
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