Basic Information
Provider Information
NPI: 1437117751
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOYED
FirstName: JAMES
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5055 E BROADWAY BLVD STE A100
Address2: ARIZONA COMMUNITY PHYSICIANS PC
City: TUCSON
State: AZ
PostalCode: 857113629
CountryCode: US
TelephoneNumber: 5205474906
FaxNumber: 5207950225
Practice Location
Address1: 6548 E CARONDELET DRIVE
Address2: ARIZONA COMMUNITY PHYSICIANS PC
City: TUCSON
State: AZ
PostalCode: 85710
CountryCode: US
TelephoneNumber: 5202982319
FaxNumber: 5202987811
Other Information
ProviderEnumerationDate: 05/03/2006
LastUpdateDate: 04/18/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X13616AZY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home