Individual
DR. SUSAN E. BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7800
(205) 343-8029
Mailing address
801 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7800
(205) 343-8029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
119907
MS
207R00000X
Internal Medicine Physician
30835
AL
207RX0202X
Medical Oncology Physician
Primary
30835
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127494
—
AL
Enumeration date
05/24/2007
Last updated
04/18/2013
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