Organization
CHRISTIAN EAR NOSE THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W BOSCH DO (SOLE MEMBER)
(270) 885-5525
Entity
Organization
Contact information
Practice address
1830 HIGH ST, SUITE B, HOPKINSVILLE, KY 42240-1746
(270) 885-5525
(270) 885-1811
Mailing address
1830 HIGH ST, SUITE B, HOPKINSVILLE, KY 42240-1746
(270) 885-5525
(270) 885-1811
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
03508
KY
Other
Enumeration date
08/14/2012
Last updated
09/25/2012
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