STACEY BOSWELL, PA

PA

Physician Assistant

NPI: 1114268125IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10001506A(IN)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2012

Contact & Hours

Address: 11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845
Phone: (260) 266-8900

Quick Facts

NPI: 1114268125
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 14

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