Healthcare Provider Details

I. General information

NPI: 1386726081
Provider Name (Legal Business Name): WILLIAM JOHN BOYD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 N SCOTTSDALE RD SUITE 203
SCOTTSDALE AZ
85250-7801
US

IV. Provider business mailing address

1441 N 12TH ST
PHOENIX AZ
85006-2837
US

V. Phone/Fax

Practice location:
  • Phone: 602-240-5919
  • Fax:
Mailing address:
  • Phone: 602-747-4577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG37120
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number18742
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: