Wellformed AI

NPI 1508816471 · live from the CMS NPI Registry

Cody J. Boyce, M.D.

Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1508816471, active.

NPI record

NPI1508816471 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location190 E Bannock, Boise, ID 83712
Practice phone208-381-2094
Mailing address115 W Main Street, Suite 202, Boise, ID 83702
EnumeratedMay 11, 2006
Last updatedNovember 26, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X1329 (WI)
Radiology, Diagnostic Radiology primary2085R0202XM-10939 (ID)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.