MEDICARE: THOMAS E. BOYD MD00022875

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
1	207RH0003X	Hematology & Oncology Physician	MD00022875	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1518049642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E. BOYD MD00022875

Provider Business Mailing Address
First Line	:	PO BOX 9787
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98909-0787
Country	:	US
Telephone Number	:	509-574-3350
Fax Number	:	509-225-3168

Provider Business Practice Location Address
First Line	:	605 E HOLLAND AVE STE 100
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1246
Country	:	US
Telephone Number	:	509-228-1000
Fax Number	:	509-252-9300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	08/11/2021

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