| NPI | 1962668657 |
|---|---|
| Professional Name | DERRICK BOYD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA003235L) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA003235L) |
| 363AS0400X Physician Assistant Surgical (Licence: PA MA003235L) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2015-05-01 |