Doctor Name: | ROGER BOSLEY |
NPI Number: | 1295721637 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01025102A |
Business Practice Address: | 2316 South St Lafayette, IN - 479042971 |
Business Phone Number: | 7654476969 |
Business Fax Number: | 7654490229 |
Mailing Address: | 2316 South St, LAFAYETTE |
State: | IN |
Postal Code: | 479042971 |
Phone Number: | 7654476969 |
Fax Number: | 7654490229 |
NPI Enumeration Date: | 09/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 01025102A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |