Most Relevant Information
Provider Data
| NPI Number: | 1003656448 |
| Provider Name: | JACOB DUANE BOYD PA-S |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2024 |
| Last Updated: | 05/31/2024 |
Provider Practice Location
940 STANTON L YOUNG BLVD STE 357
OKLAHOMA CITY
OK
731045020
Practice Location Phone/Fax
| Phone: | 4052712058 |
| Fax: |
Provider Mailing Location
940 STANTON L YOUNG BLVD STE 357
OKLAHOMA CITY
OK
731045020
Provider Mailing Phone/Fax
| Phone: | 4052712058 |
| Fax: |