Boyle Health Services, Pllc | |
1515 N San Francisco St Flagstaff AZ 86001-1435 | |
(928) 774-0108 | |
(928) 774-2801 |
Full Name | Boyle Health Services, Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1515 N San Francisco St, Flagstaff, Arizona |
Authorized Official Name and Position | Heather K Boyle (PHYSICIAN) |
Authorized Official Contact | 9287740108 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Boyle Health Services, Pllc 1515 N San Francisco St Flagstaff AZ 86001-1435 Ph: (928) 774-0108 | Boyle Health Services, Pllc 1515 N San Francisco St Flagstaff AZ 86001-1435 Ph: (928) 774-0108 |
NPI Number | 1881021012 |
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Provider Enumeration Date | 10/02/2013 |
Last Update Date | 10/02/2013 |
Medicare PECOS PAC ID | 1850528282 |
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Medicare Enrollment ID | O20131210002059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881021012 | NPI | - | NPPES |
389992 | Medicaid | AZ | |
1417127564 | Other | AZ | DR. BOYLE'S PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 38148 (Arizona) | Primary |
Provider Name | Heather K Boyle |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417127564 PECOS PAC ID: 8325104862 Enrollment ID: I20090306000455 |
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