Provider Demographics
NPI:1639363922
Name:BOYCE, DAVID MELVIN (MDL)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MELVIN
Last Name:BOYCE
Suffix:
Gender:M
Credentials:MDL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 NW 45TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-8227
Mailing Address - Country:US
Mailing Address - Phone:301-875-8306
Mailing Address - Fax:
Practice Address - Street 1:608 NW 9TH ST STE 1000
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1014
Practice Address - Country:US
Practice Address - Phone:405-272-7494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25852207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine