George P. Boyum in Oak Park Heights - Specialist
George P. Boyum - NPI 1528050929
George P. Boyum is a Specialist in Oak Park Heights, Minnesota. George P. Boyum practices all healthcare services and medical treatments related to Specialist. The NPI Number for George P. Boyum is 1528050929. The last update date is 2013-11-15.
George P. Boyum's current location address is 5803 Neal Ave N, Oak Park Heights, Minnesota. You can contact this provider via phone number 6514398807 and fax number 6514390232. The mailing address for George P. Boyum is 5803 Neal Ave N, Oak Park Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George P. Boyum |
|---|---|
| Address | 5803 Neal Ave N, Oak Park Heights, Minnesota |
| Phone Number | 6514398807 |
| Fax Number | 6514390232 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528050929 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2013-11-15 |
Provider Mailing Address Detail
| Address | 5803 Neal Ave N |
|---|---|
| City | Oak Park Heights |
| State | Minnesota (MN) |
| Post Code | 550822177 |
| Phone Number | 6514398807 |
| Fax Number | 6514390232 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 21557 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01218320 | MN | RR MEDICARE |
Post Comment/ Review Below
What is the George P. Boyum's 1528050929?
The George P. Boyum's NPI (National Provider Identifier) Number is 1528050929. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the George P. Boyum's physical address?
The George P. Boyum is physically located at 5803 Neal Ave N, in the city of Oak Park Heights, MN, with the postal code 550822177.
What is George P. Boyum's specialized field of practice, and what is the corresponding taxonomy classification code?
The George P. Boyum's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did George P. Boyum receive its 1528050929 assignment from the Centers for Medicare & Medicaid Services?
The George P. Boyum was assigned its 1528050929 on 2005-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to George P. Boyum most recently updated or revised?
The details related to George P. Boyum, including its address, specialty, and other relevant information, were last updated or revised on 2013-11-15.