NPI Profile for Dr TYLER BOYD in CHEYENNE, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
General Practice |
1223G0001X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1861830465 |
|
| Status | Active | |
| Credentials | MD, DDS | |
| Entity | Individual | |
| Enumeration date | 06/05/2013 | |
| Last updated | 01/05/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TYLER BOYD
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