NPI 1295699486

Boone Physician Services, LLC

Organisation Surgery Physician Columbia, MO

Practice location

Address: 1605 E Broadway STE 200, Columbia, MO 65201-8023
Phone: (573) 815-8000
Mailing address: 1600 E Broadway, Columbia, MO 65201-5844

Authorised official

Name: Edward James Clayton
Title: Chief Financial Officer
Phone: (573) 815-3072

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Missouri →

Registry record

NPI: 1295699486
Entity type: Organization
NPI issued: 11 Dec 2025
Record last updated: 11 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.