| Mr Ralph O Boling Jr, DO | |
|
1605 South Baltimore Street, Suite B, Kirksville, MO 63501 | |
| (660) 956-7279 | |
| (660) 665-3570 |
| Full Name | Mr Ralph O Boling Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1605 South Baltimore Street, Kirksville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659356699 | NPI | - | NPPES |
| 1659356699 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | R4G47 (Missouri) | Primary |
| Entity Name | Van Buren County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316063076 PECOS PAC ID: 7214829530 Enrollment ID: O20040329001814 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ralph O Boling Jr, DO 1605 South Baltimore Street, Suite B, Kirksville, MO 63501 Ph: (660) 956-7279 | Mr Ralph O Boling Jr, DO 1605 South Baltimore Street, Suite B, Kirksville, MO 63501 Ph: (660) 956-7279 |
Brent D Speak, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 402 W Jefferson St, Kirksville, MO 63501 Phone: 660-665-3555 Fax: 660-665-3547 | |
Melodie Dawn Stocks, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 402 W Jefferson St, Kirksville, MO 63501 Phone: 660-665-3555 Fax: 660-665-3547 |