Individual
DR. MORGAN TAYLOR BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1275 GLEN DR, MILLERSBURG, OH 44654-8958
(330) 674-6121
Mailing address
1451 MOORE RD, WOOSTER, OH 44691-8421
(330) 205-5022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492706
—
OH
Enumeration date
04/26/2022
Last updated
11/12/2024
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