Wickizer, Boyd Roy

Wickizer, Boyd Roy is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wickizer, Boyd Roy can be contacted via phone (804) 765-5949.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-9274
Phone: (804) 765-5949
Fax: (804) 765-6250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101047692 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101047692 Virginia

Profile Details

NPI number 1750330353
LBN Legal business name Wickizer, Boyd Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 23rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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