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Contact Information

BOONSLICK MEDICAL GROUP INC
1301 BOONES LICK RD
SAINT CHARLES, MO63301-2463
 Phone: 636-916-8228
 Fax: 636-946-5774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BOONSLICK MEDICAL GROUP INC

NPI Number 1972666162
LBN Legal business name BOONSLICK MEDICAL GROUP INC
Authorized official ROBERT CUSWORTH - (PRESIDENT, BOONSLICK MED. GROUP INC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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