NPI 1689739021 · live from the CMS NPI Registry
Richard Paul Bose, M.D.
Specialist in Clarion, IA. National Provider Identifier 1689739021, active.
NPI record
| NPI | 1689739021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Specialist 174400000X |
| Practice location | 1316 S Main St, Clarion, IA 50525 |
| Practice phone | 515-532-2811 |
| Mailing address | 603 N Diers Ave, Ste 2, Grand Island, NE 68803 |
| Enumerated | December 26, 2006 |
| Last updated | March 25, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine | 207LP2900X | 25824 (IA) |
| Specialist primary | 174400000X | 23283 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.