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1427166537
BOYD D. CROCKETT
SPRINGFIELD, MO
NPI
1427166537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO 2001019052)
Enumeration Date
2006-08-28
Last Update Date
2015-12-31
Business Address
Dr. BOYD D. CROCKETT M.D.
3555 S NATIONAL AVE #302
SPRINGFIELD, MO 65807-7310
Phone number: 417-269-6868
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Mailing Address
Dr. BOYD D. CROCKETT M.D.
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-875-3462
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