NPI 1194801357

Jon D Boyum, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Spokane, WA

Practice location

Address: 910 W 5th Ave Suite 1000, Spokane, WA 99204-2966
Phone: (509) 838-2531
Fax: (509) 755-6580
Mailing address: PO Box 3649, Spokane, WA 99220-3649

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence MD00045242 (WA)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Washington →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD00045242 (WA)

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Registry record

NPI: 1194801357
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2006
Record last updated: 18 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.