Organization
ADVANCED ORTHOPAEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOSEPH BOSE M.D. (SOLE PROPRIETOR)
(251) 342-3949
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE B114, MOBILE, AL 36608-6705
(251) 342-3949
(251) 631-3361
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14196
AL
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117142
—
AL
01
—
511-01345
BLUE CROSS OF AL
—
Enumeration date
10/28/2009
Last updated
06/16/2010
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