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Individual

ERIC EDWARD BOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1481 W 10TH ST, R.L. ROUDEBUSH V.A. MEDICAL CENTER, PACC (116P), INDIANAPOLIS, IN 46202-2803
(317) 988-2906
Mailing address
1481 W 10TH ST, R.L. ROUDEBUSH V.A. MEDICAL CENTER, PACC (116P), INDIANAPOLIS, IN 46202-2803
(317) 988-2906

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01062230A
IN

Other

Enumeration date
09/12/2006
Last updated
07/08/2007
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