Individual provider · Type 1 NPI

Glenda Boykin, PA-C

Medical Physician Assistant · Pittsfield, MA

NPI number 1104078120 Active

Practice location

165 Tor Ct, Pain Center
Pittsfield, MA 01201-3001

Fax (413) 445-7731

Mailing address

725 North St
Pittsfield, MA 01201-4109

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X17 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1104078120

Glenda Boykin, PA-C's National Provider Identifier is 1104078120, issued on Oct 22, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pittsfield, MA. The record was last updated on Mar 3, 2010.