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Individual

MR. JEFFREY S. BOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPAS

Contact information

Practice address
4512 N 40TH ST, PHOENIX, AZ 85018-3604
(602) 954-7546
(602) 952-2941
Mailing address
4512 N 40TH ST, PHOENIX, AZ 85018-3604
(602) 954-7546
(602) 952-2941

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-02321
NC

Other

Enumeration date
02/21/2006
Last updated
01/25/2016
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