Organization
JOSHUA E. BOSTICK, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA EDWIN BOSTICK O.D. (OPTOMETRIST)
(662) 869-1779
Entity
Organization
Contact information
Practice address
122 WILLOWBROOK DR, SALTILLO, MS 38866-6895
(662) 869-1779
(662) 869-3776
Mailing address
122 WILLOWBROOK DR, SALTILLO, MS 38866-6895
(662) 869-1779
(662) 869-3776
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
821
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07622573
—
MS
Enumeration date
08/17/2010
Last updated
12/09/2024
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