BOONSLICK MEDICAL GROUP INC is a diagnostic radiology radiology in Saint Charles, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BOONSLICK MEDICAL GROUP INC NPI is 1972666162. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1301 BOONES LICK RD
SAINT CHARLES, MO
ZIP 63301-463
Phone: (636) 916-8228
Fax: (636) 946-5774
The provider's authorized official is Robert B Cusworth .
The authorized official title is President, Boonslick Med. Group Inc and has the following contact phone number (636) 947-3392.
The CLIA number assigned to this NPI record is 26D0440988 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 12/18/2006 and was last updated on 7/21/2022.