Individual
THOMAS LEE BOSSHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 E CHURCH ST STE 202, SANTA MARIA, CA 93454-5915
(805) 346-3456
(805) 346-3454
Mailing address
1325 E CHURCH ST STE 202, SANTA MARIA, CA 93454-5915
(805) 346-3456
(805) 346-3454
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G78405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G784050
—
CA
Enumeration date
03/12/2007
Last updated
12/20/2022
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