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NPI Code Detail

MEDICARE: DR. CARMEL ROSE BOYKIN-WRIGHT M.D.

MEDICARE: DR. CARMEL ROSE BOYKIN-WRIGHT 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
1207R00000XInternal Medicine Physician104284MO

General Provider Information

NPI Number : 1487724381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARMEL ROSE BOYKIN-WRIGHT M.D.
Provider Business Mailing Address
First Line : 6121 N HANLEY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63134-2003
Country : US
Telephone Number : 314-615-0600
Fax Number : 314-615-8303
Provider Business Practice Location Address
First Line : 6121 N HANLEY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63134-2003
Country : US
Telephone Number : 314-615-0600
Fax Number : 314-615-8303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 06/14/2013

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