Boyer, Randy

Boyer, Randy is an individual health care provider with primary practice located at 4401 E Lohman Ave , Las Cruces NM 88011-8267. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Boyer, Randy can be contacted via phone (575) 532-9077.

Contact Information

Primary practice address
4401 E Lohman Ave Las Cruces NM 88011-8267
Phone: (575) 532-9077
Fax: (575) 532-9221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 94-PA06 New Mexico

Profile Details

NPI number 1942288147
LBN Legal business name Boyer, Randy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Sep 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942288147 NPPES
New Mexico MEDICAID 00099985

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