Provider Information for 1528431590
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DAMIEN BOYD
Sex: Male
NPI: 1528431590
Last Updated: 2024-10-16
Certification Date: 2024-10-16
Certification Date: 2024-10-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528431590 | ||||||||
| Enumeration Date | 2015-11-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3018 OLD MINDEN RD STE 1200 BOSSIER CITY, LA 71112-2476 United States Phone: 318-658-9927 | Fax: | ||||||||
| Primary Practice Address | 3018 OLD MINDEN RD STE 1200 BOSSIER CITY, LA 71112-2476 United States Phone: 318-658-9927 | Fax: | ||||||||
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