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Individual

DR. CRAIG BRIAN BOSWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
969 N MASON RD, SUITE 170, SAINT LOUIS, MO 63141-6338
(314) 628-8200
(314) 628-9504
Mailing address
969 N MASON RD, SUITE 170, SAINT LOUIS, MO 63141-6338
(314) 628-8200
(314) 628-9504

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
108610
MO

Other

Enumeration date
02/12/2007
Last updated
07/09/2007
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