Basic Information
| Provider Information | |||||||||
| NPI: | 1881702207 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOYCE | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1730 E CIRCLE MOUNTAIN RD | ||||||||
| Address2: | |||||||||
| City: | NEW RIVER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850877590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6233743326 | ||||||||
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| Practice Location | |||||||||
| Address1: | 650 E. INDIAN SCHOOL RD | ||||||||
| Address2: | CARL T. HAYDEN VA MEDICAL CENTER | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022775551 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2006 | ||||||||
| LastUpdateDate: | 04/28/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | RN130800 | AZ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.