Individual
DR. BILL N BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 PRINCETON RD, SUITE 104, JOHNSON CITY, TN 37601-2060
(423) 928-0168
(423) 928-5141
Mailing address
508 PRINCETON RD, SUITE 104, JOHNSON CITY, TN 37601-2060
(423) 928-0168
(423) 928-5141
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000015354
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134347
BCBS
TN
05
—
3060284
—
TN
01
—
340012652
RAILROAD MEDICARE
TN
01
—
TN0103
JOHN DEERE
TN
Enumeration date
05/10/2006
Last updated
07/08/2007
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