Individual
DR. JAMES PERCIVAL BOSANQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5000
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2011001435
MO
207RP1001X
Pulmonary Disease Physician
Primary
2011001435
MO
Other
Enumeration date
07/01/2009
Last updated
01/14/2021
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