Boone Physician Services, LLC

NPI #1295699486 in Columbia, Missouri

Provider Information

NPI Number: 1295699486
Entity Type: Organization
Organization Name: Boone Physician Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BOONE PHYSICIAN SERVICES, LLC
Primary Specialty: Surgery
Enumeration Date: Dec 11, 2025
Last Updated: Dec 11, 2025

Practice Location

Address: 1605 E BROADWAY STE 200
City: Columbia
State: Missouri
ZIP Code: 65201-8023
Phone: (573) 815-8000

Authorized Official

Name: EDWARD JAMES CLAYTON JR.
Title: CHIEF FINANCIAL OFFICER
Phone: (573) 815-3072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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