MEDICARE: DR. WILLIAM HENRY BOYD M.D.

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
1	208000000X	Pediatrics Physician	A25082	CA

General Provider Information

NPI Number	:	1760535850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HENRY BOYD M.D.

Provider Business Mailing Address
First Line	:	2970 HILLTOP MALL RD
Second Line	:	SUITE 305
City	:	RICHMOND
State	:	CA
Zip	:	94806-1947
Country	:	US
Telephone Number	:	510-222-5437
Fax Number	:	510-222-5487

Provider Business Practice Location Address
First Line	:	2970 HILLTOP MALL RD
Second Line	:	SUITE 305
City	:	RICHMOND
State	:	CA
Zip	:	94806-1947
Country	:	US
Telephone Number	:	510-222-5437
Fax Number	:	510-222-5487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/08/2007

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