Individual
HAROLD J.P. VAN BOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 977-4102
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 977-4102
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
200545
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
2022040078
MO
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD434500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01640257
—
NY
Enumeration date
10/05/2005
Last updated
11/02/2022
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