Healthcare Provider Details

I. General information

NPI: 1265961908
Provider Name (Legal Business Name): DR. DAVID ROMAN BOYCE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1641 E POLSTON AVE STE 102
POST FALLS ID
83854-7852
US

IV. Provider business mailing address

3815 N SCHREIBER WAY UNIT 101
COEUR D ALENE ID
83815-8434
US

V. Phone/Fax

Practice location:
  • Phone: 208-755-2804
  • Fax: 208-765-0277
Mailing address:
  • Phone: 208-755-2804
  • Fax: 208-765-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number9681804
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: