| Carl Eugene Bosley, DO | |
| 
					2503 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2444  | |
| (573) 785-5544 | |
| (573) 785-4672 | 
| Full Name | Carl Eugene Bosley | 
|---|---|
| Gender | Male | 
| Speciality | Otolaryngology | 
| Location | 2503 Lucy Lee Pkwy, Poplar Bluff, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942312921 | NPI | - | NPPES | 
| 246988901 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | R8584 (Missouri) | Primary | 
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | R8584 (Missouri) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carl Eugene Bosley, DO 2503 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2444 Ph: (573) 785-5544  | Carl Eugene Bosley, DO 2503 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2444 Ph: (573) 785-5544  | 
Dr. Alexandros Georgolios, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-778-2600  | |
Dr. Suwan Phanijphand, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2011 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7791 Fax: 573-785-8784  |