JAY BOARDMAN PA-C NPI 1659854677

NPI Information

Jay Boardman, PA-C is a medical physician assistant in Surprise, AZ with 6 years of experience. Jay Boardman, PA-C NPI is 1659854677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13755 N LITCHFIELD RD STE 105
SURPRISE, AZ
ZIP 85379-288
Phone: (623) 322-5900

The NPI 1659854677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2018 and was last updated on 9/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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