Provider Demographics
NPI:1972707594
Name:BOYER, VERONICA ANNETTE (NMD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:ANNETTE
Last Name:BOYER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 W BENTLEY ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-6242
Mailing Address - Country:US
Mailing Address - Phone:480-898-2876
Mailing Address - Fax:
Practice Address - Street 1:876 N MCQUEEN RD
Practice Address - Street 2:SUITE 108
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-2323
Practice Address - Country:US
Practice Address - Phone:480-269-3739
Practice Address - Fax:480-503-1966
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ04-816175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath