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General NPI Number Information
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NPI Number | 1669493078
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Entity Type | Individual
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Provider Name | JULIA ANN BOYD MD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 6611 CLYO RD STE B
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City | CENTERVILLE
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State | OH
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Zip | 45459-2786
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Country | US
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Telephone | 937-208-7474
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Fax | 937-208-7470
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Provider Business Mailing Address
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Address Line | 6611 CLYO RD STE B
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City | CENTERVILLE
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State | OH
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Zip | 45459-2786
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Country | US
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Telephone | 937-208-7474
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Fax | 937-208-7470
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35057343
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License Number State | OH
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