Organization
BELLEVUE PULMONARY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L BOSWELL M.D. (DIRECTOR)
(901) 725-5533
Entity
Organization
Contact information
Practice address
1211 UNION AVE, SUITE 120, MEMPHIS, TN 38104-6638
(901) 725-5533
Mailing address
1211 UNION AVE, SUITE 120, MEMPHIS, TN 38104-6638
(901) 725-5533
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013379
—
MS
05
—
3384031
—
TN
01
—
80872
BCBS OF AR
AR
Enumeration date
07/29/2006
Last updated
02/17/2009
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