Organization
GUY R. BOSWELL,O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY R. BOSWELL O.D (OWNER)
(206) 363-9111
Entity
Organization
Contact information
Practice address
3114 NE 125TH ST, SEATTLE, WA 98125-4515
(206) 363-9111
Mailing address
3114 NE 125TH ST, SEATTLE, WA 98125-4515
(206) 363-9111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007879
—
WA
Enumeration date
02/15/2012
Last updated
02/15/2012
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