person
Colleen Susan Boyle, MD
Military Health Care Provider in Portsmouth, Virginia
NPI 1124648597

Colleen Susan Boyle is a Military Health Care Provider based in Portsmouth, VA. Colleen Susan Boyle practices in Portsmouth, VA and has the professional credentials of MD. The NPI Number for Colleen Susan Boyle is 1124648597 and holds a License No. (Virginia).

The current practice location address for Colleen Susan Boyle is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-2339.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
person
Provider Profile Details
NPI Number
1124648597
Provider Name
Colleen Susan Boyle
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
Phone Number
757-953-2339
Fax Number
Provider Enumeration Date
04/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
757-953-2339
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
757-953-2339
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
(Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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