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NPI Code Detail

MEDICARE: MR. EUGENE JOSEPH BOYLE

MEDICARE:  MR. EUGENE JOSEPH BOYLE
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
1103TB0200XCognitive & Behavioral Psychologist

General Provider Information

NPI Number : 1396267571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EUGENE JOSEPH BOYLE
Provider Business Mailing Address
First Line : 2877 PARADISE RD UNIT 801
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-5244
Country : US
Telephone Number : 702-222-1940
Fax Number :
Provider Business Practice Location Address
First Line : 9183 W FLAMINGO RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6464
Country : US
Telephone Number : 702-650-6508
Fax Number : 702-920-8865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2017
Last Update Date : 07/10/2017

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Directions to “ MR. EUGENE JOSEPH BOYLE ” Practice Location

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