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Contact Information

CRAIG L BOSWELL, MD
1001 E PRIMROSE ST
SPRINGFIELD, MO65807-7006
 Phone: 417-875-3462
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CRAIG L BOSWELL · (Male)

NPI # 1487613378
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2006
Last updated 12/27/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2001010847
  • AR Medicaid 143642001
  • MO Medicaid 205298110
  • MO Medicaid 205298128
  • MO Other 1256 BLUE
  • MO Other P00191393 RRR MEDICARE
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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