Individual
MICHAEL BOZUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 445-7300
(573) 445-7301
Mailing address
PO BOX 7536, COLUMBIA, MO 65205-7536
(573) 445-7300
(573) 445-7301
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2016043549
MO
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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