Individual
ROGER BOSLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2316 SOUTH ST, LAFAYETTE, IN 47904-2971
(765) 447-6969
(765) 449-0229
Mailing address
2316 SOUTH ST, LAFAYETTE, IN 47904-2971
(765) 447-6969
(765) 449-0229
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01025102A
IN
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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