Doctor Name: | DR. CANDICE CAPSTICK BOYER |
NPI Number: | 1942491931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 25MB08351900 |
Business Practice Address: | 162 Upper Valley Rd Christiana, PA - 175099771 |
Business Phone Number: | 6095042534 |
Business Fax Number: | 6092282872 |
Mailing Address: | 162 Upper Valley Rd, CHRISTIANA |
State: | PA |
Postal Code: | 175099771 |
Phone Number: | 6095042534 |
Fax Number: | 6092282872 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 25MB08351900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |