Individual
MACE WALKER BOSHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1120 GREENE ST, ADEL, IA 50003-1712
(515) 993-4656
(515) 993-4532
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 993-4656
(515) 993-4532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001940
IA
Other
Enumeration date
07/31/2008
Last updated
02/14/2012
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