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NPI Code Detail

MEDICARE: DR. CLAY NELSON BOYD M.D.

MEDICARE: DR. CLAY NELSON BOYD M.D.
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
1208800000XUrology PhysicianL016578LA

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 : 1346249729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAY NELSON BOYD M.D.
Provider Business Mailing Address
First Line : 1645 LUTCHER AVE
Second Line :
City : LUTCHER
State : LA
Zip : 70071-5150
Country : US
Telephone Number : 225-258-2070
Fax Number : 225-258-2071
Provider Business Practice Location Address
First Line : 1645 LUTCHER AVE
Second Line :
City : LUTCHER
State : LA
Zip : 70071-5150
Country : US
Telephone Number : 225-258-2070
Fax Number : 225-258-2071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 06/13/2017

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