Shawn Boss, DO
Internal Medicine in Columbia, MO. Individual provider (NPI-1).
NPI number1649166315
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1649166315
- Entity type
- Individual (NPI-1)
- Name
- Shawn Boss
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2025023223 | MO | Yes |
Practice location
1 Hospital Dr # Dc043.00Columbia, MO 65212-1000
Phone 573-884-1606
Mailing address
1 Hospital Dr # Dc043.00Columbia, MO 65212-1000
Phone 573-884-1606
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