Individual
DR. BRIAN CARLOS BOSWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1704 ESPLANADE, CHICO, CA 95926-3315
(530) 891-1177
(530) 891-0452
Mailing address
1704 ESPLANADE, CHICO, CA 95926-3315
(530) 891-1177
(530) 891-0452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G39371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G393710
—
CA
Enumeration date
06/12/2006
Last updated
07/09/2007
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