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NPI Code Detail

MEDICARE: MRS. MICHELLE SOVERN BOYER PA-C

MEDICARE: MRS. MICHELLE SOVERN BOYER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant50.002895OH

General Provider Information

NPI Number : 1447493036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE SOVERN BOYER PA-C
Provider Business Mailing Address
First Line : 7792 MISTY SHORE DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-9645
Country : US
Telephone Number : 937-885-7163
Fax Number : 937-885-7193
Provider Business Practice Location Address
First Line : 1110 OAKWOOD AVE
Second Line :
City : OAKWOOD
State : OH
Zip : 45419-2911
Country : US
Telephone Number : 937-885-7163
Fax Number : 937-567-0670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2009
Last Update Date : 02/06/2025

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Directions to “ MRS. MICHELLE SOVERN BOYER PA-C” Practice Location

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