Individual provider · NPI-1

Craig Lee Boswell, M.D.

Radiology, Vascular & Interventional Radiology · Springfield, MO

NPI number1487613378
StatusActive
Last updated in NPPESDec 27, 2018

Details

NPI
1487613378
Entity type
Individual (NPI-1)
Name
Craig Lee Boswell
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2006
Last updated
Dec 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional Radiology2001010847MOYes
2085R0202X Radiology, Diagnostic Radiology2001010847MO

Practice location

1001 E Primrose St
Springfield, MO 65807-7006

Phone 417-875-3462

Mailing address

Po Box 9007
Springfield, MO 65808-9007

Phone 417-875-3462

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