Organization
BOONE PHYSICIAN SERVICES, LLC
Active
Parent organization
BOONE PHYSICIAN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOONE PHYSICIAN SERVICES, LLC
Authorized official
EDWARD JAMES CLAYTON JR. (CHIEF FINANCIAL OFFICER)
(573) 815-3072
Entity
Organization
Contact information
Practice address
1605 E BROADWAY STE 200, COLUMBIA, MO 65201-8023
(573) 815-8000
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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