Healthcare Provider Details

I. General information

NPI: 1346501020
Provider Name (Legal Business Name): CURTIS JAMES BOYD III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 12/23/2019
Certification Date: 12/23/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 UNITED DR STE 360
CONWAY AR
72032
US

IV. Provider business mailing address

625 UNITED DR STE 360
CONWAY AR
72032-7831
US

V. Phone/Fax

Practice location:
  • Phone: 501-358-6941
  • Fax: 501-358-6951
Mailing address:
  • Phone: 501-358-6941
  • Fax: 501-358-6951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberE9044
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP10044899
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberE-9844
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: