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NPI Code Detail

MEDICARE: DEBRA BOYER MD

MEDICARE:   DEBRA  BOYER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101036816VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184615262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA BOYER MD
Provider Business Mailing Address
First Line : 856 J CLYDE MORRIS BLVD
Second Line : SUITE A
City : NEWPORT NEWS
State : VA
Zip : 23601-1318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 191 FOX HILL RD
Second Line : SUITE D
City : HAMPTON
State : VA
Zip : 23669-2360
Country : US
Telephone Number : 757-850-1311
Fax Number : 757-850-7315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2005
Last Update Date : 09/30/2013

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