Basic Information
Provider Information
NPI: 1295961068
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOYCE
FirstName: DANIEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1820 PRESTON PARK BLVD 1825
Address2:  
City: PLANO
State: TX
PostalCode: 750935215
CountryCode: US
TelephoneNumber: 9728677862
FaxNumber:  
Practice Location
Address1: 1425 PORTLAND AVE
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146213001
CountryCode: US
TelephoneNumber: 5859223220
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/05/2009
LastUpdateDate: 08/13/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XMDR-5713HIY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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