Jonathan Hall Boswell, PA
Physician Assistant in Springfield, MO. Individual provider (NPI-1).
NPI number1154439701
StatusActive
Last updated in NPPESMar 30, 2011
Details
- NPI
- 1154439701
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonathan Hall Boswell
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Mar 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2005002880 | MO | Yes |
Practice location
440 E Tampa StSpringfield, MO 65806-1131
Phone 417-831-0150 · Fax 417-831-0155
Mailing address
Po Box 5681Springfield, MO 65801-5681
Phone 417-831-0150 · Fax 417-831-0155
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