Individual
DR. DAVID B BOSTICK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 HOSPITAL ST, CADIZ, KY 42211-7970
(270) 522-1234
Mailing address
13 HOSPITAL ST, P.O. BOX 326, CADIZ, KY 42211-7970
(270) 522-1234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1028DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010288
—
KY
Enumeration date
01/20/2007
Last updated
04/02/2008
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