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Individual

DUSTIN C BOZWELL

Active
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Individual

DUSTIN C BOZWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA/ARNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-100965-102
KS
163W00000X
Registered Nurse
2007013208
MO
163W00000X
Registered Nurse
R98156
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
D-111082
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
421417307-V5
UHC/RIVER VALLEY/JD
IA
Enumeration date
05/28/2010
Last updated
02/09/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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