MEDICARE: DR. ROBERT L 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
1	2083X0100X	Occupational Medicine Physician	26323	KY

General Provider Information

NPI Number	:	1669473864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT L BOYER MD

Provider Business Mailing Address
First Line	:	1125 SAMUEL CT
Second Line	:
City	:	UNION
State	:	KY
Zip	:	41091-7774
Country	:	US
Telephone Number	:	859-384-9468
Fax Number	:

Provider Business Practice Location Address
First Line	:	1019 MAJESTIC DR
Second Line	:	STE 270
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1496
Country	:	US
Telephone Number	:	859-446-5603
Fax Number	:	859-223-0494

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	08/15/2013

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