Boyd Obstetrics & Gynecology of Central Illinois

NPI #1902107733 in Peoria, Illinois

Provider Information

NPI Number: 1902107733
Entity Type: Organization
Organization Name: Boyd Obstetrics & Gynecology of Central Illinois
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 10, 2010
Last Updated: Nov 10, 2010

Practice Location

Address: 900 MAIN ST STE 660
City: Peoria
State: Illinois
ZIP Code: 61602-1060
Phone: (309) 687-4230

Authorized Official

Name: PAULA CLARK
Title: ADMINISTRATOR
Phone: (309) 687-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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