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Individual

WILLIAM SCOTT BOSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3156
Mailing address
PO BOX 955277, SAINT LOUIS, MO 63195-5277

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036108377
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0361083771
IL
01
P00020928
RAIL ROAD MEDICARE
IL
Enumeration date
06/15/2006
Last updated
09/11/2023
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