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Donald Mark Bostic, PS-S
Medical Physician Assistant in Austin, Indiana
NPI 1437347929

Donald Mark Bostic is a Medical Physician Assistant based in Richmond, IN and is specialized in Medical. Donald Mark Bostic practices in Austin, IN and has the professional credentials of PS-S. The NPI Number for Donald Mark Bostic is 1437347929 and holds a License No. 10000954A (Indiana).

The current practice location address for Donald Mark Bostic is 25 W Main St, Austin, IN and can be reached out via phone at 812-794-8100 and via fax at 812-794-8200.

Location: 25 W Main St, Austin, IN, 47374-4208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437347929
Provider Name
Donald Mark Bostic
Credential
PS-S
Provider Entity Type
Individual
Gender
Male
Address
25 W Main St, Austin, IN, 47374-4208
Phone Number
812-794-8100
Fax Number
812-794-8200
Provider Enumeration Date
10/09/2007
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200490500A 05 IN
institution
Provider Business Practice Location Address Details
Address
25 W Main St
City
Austin
State
Indiana
Zip
47102-1303
Phone Number
812-794-8100
Fax Number
812-794-8200
person
Provider Business Mailing Address Details
Address
25 W Main St
City
Austin
State
Indiana
Zip
47102-1303
Phone Number
812-794-8100
Fax Number
812-794-8200
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
10000954A (Indiana)
Definition
Definition to come...
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