Individual
DR. ROBERT BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5800
Mailing address
5416 APPOMATTOX RD, DAVENPORT, IA 52806-2372
(563) 884-5208
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04733
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21908
BLUE CROSS BLUE SHIELD
IA
Enumeration date
07/18/2006
Last updated
07/08/2007
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