Healthcare Provider Details

I. General information

NPI: 1518948512
Provider Name (Legal Business Name): ERIC MARTIN BOYDEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N ARLINGTON AVE RENO
RENO NV
89503-4723
US

IV. Provider business mailing address

555 N ARLINGTON AVE RENO
RENO NV
89503-4723
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-3040
  • Fax: 775-788-5235
Mailing address:
  • Phone: 775-786-3040
  • Fax: 775-786-1887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number6724
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number6724
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: