Healthcare Provider Details

I. General information

NPI: 1851732366
Provider Name (Legal Business Name): WILLIAM THOMAS BOYCE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 07/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CALIFORNIA ST SUITE 245
SAN FRANCISCO CA
94118-1981
US

IV. Provider business mailing address

3333 CALIFORNIA ST SUITE 245
SAN FRANCISCO CA
94118-1981
US

V. Phone/Fax

Practice location:
  • Phone: 925-984-3535
  • Fax:
Mailing address:
  • Phone: 925-984-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberC42213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: