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DR. ROGER T BOYINGTON D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1689769739

Individual Registrant:
DR. ROGER T BOYINGTON D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
508 E THREE NOTCH ST  ANDALUSIA, AL 36420-3128 US
Tel: 334-427-2273  Fax: 334-222-2583

Contact information for business:
PO BOX 310  ANDALUSIA, AL 36420-1205 US
Tel: 334-427-2273  Fax: 334-222-2583

Registration Information:
NPI: 1689769739
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ALDO439

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD AL51078763AL01
529901030AL05
MEDICARE000078763AL01




HEALTH CARE JOBS AL - Page 1



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