MEDICARE: DR. THOMAS BOYCE MD

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
1	2086S0105X	Surgery of the Hand (Surgery) Physician	13737	WA

General Provider Information

NPI Number	:	1669566220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS BOYCE MD

Provider Business Mailing Address
First Line	:	P.O. BOX 82424
Second Line	:
City	:	KENMORE
State	:	WA
Zip	:	98028
Country	:	US
Telephone Number	:	206-799-3234
Fax Number	:

Provider Business Practice Location Address
First Line	:	20131 44TH AVE NE
Second Line	:
City	:	LAKE FOREST PARK
State	:	WA
Zip	:	98155-1619
Country	:	US
Telephone Number	:	206-799-3234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/15/2007

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