Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 13737 | WA |
NPI | 1669566220 |
---|---|
Provider Name | Dr. Thomas Boyce |
First Address | Kenmore, WA 98028 |
Second Address | Lake Forest Park, WA 98155-1619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 15/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A48210 | (02) | WA |