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Organization

BOSWELL MEDICAL SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BOSWELL M.D. (OWNER/PHYSICIAN)
(205) 495-1802
Entity
Organization

Contact information

Practice address
1530 US HIGHWAY 43, WINFIELD, AL 35594-5056
(205) 495-1802
Mailing address
PO BOX 611, GUIN, AL 35563-0611
(205) 495-1802

Taxonomy

Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
MD25562
AL
207R00000X
Internal Medicine Physician
Primary
MD25562
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115649
AL
01
51597448
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/02/2012
Last updated
04/03/2012
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