Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 35049 | AZ |
NPI | 1003855214 |
---|---|
Provider Name | Dr. Michele Lynn Boyce Ley |
First Address | Tucson, AZ 85718-5999 |
Second Address | Tucson, AZ 85712-2268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 04/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
078550 | (05) | AZ |
I30323 | (02) | AZ |