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John Phillip Bostic

Case Manager/Care Coordinator in Moab, UT. Individual provider (NPI-1).

NPI number1346586740
StatusActive
Last updated in NPPESDec 13, 2012

Details

NPI
1346586740
Entity type
Individual (NPI-1)
Name
John Phillip Bostic
Sex
Male
Sole proprietor
No
Enumeration date
Dec 13, 2012
Last updated
Dec 13, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

48 North Shields Lane
Moab, UT 84532-2430

Phone 435-259-3155

Mailing address

Po Box 867
Price, UT 84501-0867

Phone 435-637-7200 · Fax 435-637-2377

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