Bobby Self is a Driver based in Boonville, MO. Bobby Self practices in Boonville, MO. The NPI Number for Bobby Self is 1568238343 and holds a License No. D135089004 (Missouri).
The current practice location address for Bobby Self is 1728 Jesse James Ct, Boonville, MO and can be reached out via phone at 573-540-7160.
Location: 1728 Jesse James Ct, Boonville, MO, 65233-2874
Provider Profile Details
NPI Number
1568238343
Provider Name
Bobby Self
Credential
Provider Entity Type
Individual
Gender
Male
Address
1728 Jesse James Ct, Boonville, MO, 65233-2874
Phone Number
573-540-7160
Fax Number
Provider Enumeration Date
12/01/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1728 Jesse James Ct
City
State
Zip
65233-2874
Phone Number
573-540-7160
Fax Number
Provider Business Mailing Address Details
Address
1728 Jesse James Ct
City
State
Zip
65233-2874
Phone Number
573-540-7160
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
D135089004 (Missouri)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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