Individual
BARBARA L. BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
77 W FOREST AVE, SUITE 304, FLAGSTAFF, AZ 86001-1479
(928) 214-3600
(928) 214-3601
Mailing address
77 W FOREST AVE, SUITE 304, FLAGSTAFF, AZ 86001-1479
(928) 214-3600
(928) 214-3601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32739
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0753850
BCBS
AZ
01
—
2Z1003
HEALTH NET
AZ
01
—
5217269
CIGNA
AZ
01
—
5592602
AETNA
AZ
05
—
856495
—
AZ
Enumeration date
08/22/2005
Last updated
07/22/2011
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