William T Boyle, PA-C Valid NPI

Individual provider · Physician Assistant · San Bernardino, CA

NPI

1124053715

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA11057 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-11

Last updated

2007-07-08