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General NPI Number Information
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NPI Number | 1770581456
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Entity Type | Individual
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Provider Name | WILLIAM MARC BOYD JR. D.O., M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 3417 N 12TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-4008
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Country | US
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Telephone | 850-432-7310
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Fax | 850-432-7320
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Provider Business Mailing Address
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Address Line | PO BOX 17567
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City | PENSACOLA
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State | FL
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Zip | 32522-7567
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Country | US
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Telephone | 850-475-3700
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Fax | 850-505-0079
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036084069
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DO.2106
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License Number State | AL
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