Individual
PHILLIP BOSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2165 MEDICAL PARK DR, HICKORY, NC 28602-8809
(828) 294-7793
(828) 294-9160
Mailing address
2165 MEDICAL PARK DR, HICKORY, NC 28602-8809
(828) 294-7793
(828) 294-9160
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2021-00032
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
01084243B
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
CV2002622
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/25/2014
Last updated
07/30/2024
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