Basic Information
| Provider Information | |||||||||
| NPI: | 1386726081 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOYD | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | JOHN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1441 N 12TH ST | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850062837 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6027474577 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6609 N SCOTTSDALE RD | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852507801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022405919 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | G37120 | CA | X | Allopathic & Osteopathic Physicians | Anesthesiology | 208VP0000X | 18742 | AZ | X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine |
No ID Information.