Individual
DANE BOYACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2214
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05-39854
KS
Other
Enumeration date
05/28/2014
Last updated
02/08/2023
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