Provider Demographics
NPI:1992749667
Name:BOYD, ROCK F (MD)
Entity type:Individual
Prefix:
First Name:ROCK
Middle Name:F
Last Name:BOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30375 446TH AVE.
Mailing Address - Street 2:
Mailing Address - City:VOLIN
Mailing Address - State:SD
Mailing Address - Zip Code:57072
Mailing Address - Country:US
Mailing Address - Phone:605-267-2911
Mailing Address - Fax:
Practice Address - Street 1:410 16TH AVE.W
Practice Address - Street 2:
Practice Address - City:TYNDALL
Practice Address - State:SD
Practice Address - Zip Code:57066-0027
Practice Address - Country:US
Practice Address - Phone:605-589-3341
Practice Address - Fax:605-589-3288
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1363207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1363OtherDAKOTACARE
SD4996775OtherBCBS
SD5608464Medicaid
SD5608464Medicaid
SD4996775OtherBCBS