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Contact Information

BOSA MEDICAL COMPANY PLLC
4921 E BELL RD STE 204
SCOTTSDALE, AZ85254-6002
 Phone: 602-753-9403
 Fax: 602-753-9453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BOSA MEDICAL COMPANY PLLC

NPI Number 1801156401
LBN Legal business name BOSA MEDICAL COMPANY PLLC
Authorized official KATHY HOLT - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2012
Last updated 01/27/2026 - About 4 months ago
Identifiers
AZ License # 0695
AZ License # 0701
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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