Individual
MARY C BOYCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 N HILLSIDE ST, WICHITA, KS 67214-4914
(316) 962-3070
(316) 962-4960
Mailing address
PO BOX 47490, WICHITA, KS 67201-7490
(316) 962-3150
(316) 962-7334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-24116
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054784
BCBS OF KANSAS
KS
01
—
631350
FIRSTGUARD
KS
Enumeration date
05/22/2006
Last updated
07/08/2007
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