Jake P Bostrom is a Ophthalmology Physician based in Spartanburg, SC. Jake P Bostrom practices in Boiling Springs, SC and has the professional credentials of MD. The NPI Number for Jake P Bostrom is 1295886125 and holds a License No. 31615 (South Carolina).
The current practice location address for Jake P Bostrom is 1520 Boiling Springs Rd, Boiling Springs, SC and can be reached out via phone at 864-583-6381 and via fax at 864-583-6390.
Identifier | Type | State | Issuer |
---|---|---|---|
AA3955-7292 | 01 | SC | MEDICARE PTAN |
31615 | 01 | SC | SC LICENSE |
1457384729 | 01 | SC | GROUP NPI |
316152 | 05 | SC | |
P01501403 | 01 | SC | RR MEDICARE |
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