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Ethan Boyd

NPI 1831839760 · on the registry since 2022 · sole proprietor

Practice

Address
1601 Center St Ste 3104
Mobile, AL 36604
Phone
(251) 665-8200
Fax
(251) 665-8255
Organisation at this address
University Of South Alabama
University Of South Alabama
University Of South Alabama
University Of South Alabama
University Of South Alabama
Inferred from a shared address, not stated in the registry.
Clinicians at this address
248

Registry record

Primary taxonomy
207X00000X
207X00000X
Also registered as
390200000X
208600000X
Licence states on file
SC, AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama