Provider Demographics
NPI:1720333792
Name:ANDREWS, BOYD J (DPM)
Entity type:Individual
Prefix:
First Name:BOYD
Middle Name:J
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 N LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-8703
Mailing Address - Country:US
Mailing Address - Phone:208-327-0627
Mailing Address - Fax:208-376-5258
Practice Address - Street 1:809 N LIBERTY ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-8703
Practice Address - Country:US
Practice Address - Phone:208-327-0627
Practice Address - Fax:208-376-5258
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP-281213ES0103X
UT12622351-0501213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty