Individual
JOHN SCOTT BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6730 N WEST AVE, FRESNO, CA 93711-4301
(559) 439-3000
(559) 439-3004
Mailing address
6730 N WEST AVE, FRESNO, CA 93711-4301
(559) 439-3000
(559) 439-3004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A100542
CA
207NS0135X
Procedural Dermatology Physician
A100542
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1005420
BLUE SHIELD
CA
Enumeration date
05/30/2007
Last updated
08/02/2023
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