James Lee Bockhorst MD

NPI 1053306522 - Pediatrics - 208000000X

NPI Details
NPI 1053306522
Gender Male
Enumeration Date 09/12/2005
Last Updated 02/05/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1177 E CHERRY ST
TROY MO, 63379-1520, US
Phone (636) 528-1919
Fax (636) 528-1916
Business Location
176 GORGET DR
TROY MO, 63379-2538, US
Phone (636) 528-2321
Fax
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 077577
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According to our database, Dr. James Lee Bockhorst MD NPI is 1053306522, taxonomy code is 208000000X and license number is 077577, license state is located at Missouri. James Lee Bockhorst MD physically located at 1177 E Cherry St, Troy MO, 63379-1520. NPI Number James Lee Bockhorst MD has the Individual type.

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1053306522 NPI number is provided on an as is basis without warranty of any kind. 1053306522 is maintained by the National Plan & Provider Enumeration System. The contents of James Lee Bockhorst MD are for informational purposes only.