Individual
SHANNA BOYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5048
(479) 444-5039
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5048
(479) 444-5039
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25604
OK
2084P0800X
Psychiatry Physician
Primary
E-13081
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-13081
MEDICAL LICENSE
AR
Enumeration date
04/06/2007
Last updated
11/03/2022
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