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NPI Code Detail

MEDICARE: DR. DAVID MELVIN BOYCE M.DL.

MEDICARE: DR. DAVID MELVIN BOYCE M.DL.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician25852OK

General Provider Information

NPI Number : 1639363922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MELVIN BOYCE M.DL.
Provider Business Mailing Address
First Line : 2624 NW 45TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-8227
Country : US
Telephone Number : 301-875-8306
Fax Number :
Provider Business Practice Location Address
First Line : 608 NW 9TH ST STE 1000
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73102-1014
Country : US
Telephone Number : 405-272-7494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2007
Last Update Date : 08/30/2007

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