Individual
DR. DEVIN NELSON BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6569
(417) 820-6720
Mailing address
PO BOX 504274, SAINT LOUIS, MO 63150-4274
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009008956
MO
207P00000X
Emergency Medicine Physician
34.009111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206443003
—
AR
Enumeration date
10/23/2007
Last updated
03/30/2015
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