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Individual

WILLIAM BOSSAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2931 BLANEY CT, LAS VEGAS, NV 89121-3921
(702) 378-0620
Mailing address
2931 BLANEY CT, LAS VEGAS, NV 89121-3921

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3546
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002172
NV
Enumeration date
11/24/2008
Last updated
11/24/2008
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