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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DERRICK BOYD, PA

Active Sole Proprietor

MR. DERRICK BOYD, PA is a Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1962668657 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1962668657
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2008 (18.029624117988 yrs)
Last Updated
May 1, 2015
Licenses
MA003235L (PA)
MA003235L (PA)
MA003235L (PA)
Sole Proprietor
Yes

Practice Information

Address
561 FAIRTHORNE AVE.
FAIRMOUNT BEHAVIORAL HEALTH SYSTEM
PHILADELPHIA, PA, 19128
Browse PA providers · Browse ZIP 19128
Phone
2155823405
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
WILLIAM J GLASSMIRE PAC 1154329944
JOHN M. CAVENAGH PA 1649271313
CHRISTINA L CHAMBLEY PA-C 1568463073
BIANCA IVETTE SANTIAGO PA-C 1952385197
SANDRA Q MCCARTHY PA C 1770569311
PAUL D BRADFORD PA-C 1588641435
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.