JONATHAN HALL BOSWELL

SPRINGFIELD, MO
NPI1154439701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2005002880)
Enumeration Date2006-08-25
Last Update Date2011-03-30
Business Address
Mr. JONATHAN HALL BOSWELL PA
440 E TAMPA ST
SPRINGFIELD, MO 65806-1131
Phone number: 417-831-0150
Mailing Address
Mr. JONATHAN HALL BOSWELL PA
PO BOX 5681
SPRINGFIELD, MO 65801-5681
Phone number: 417-831-0150
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