Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boonslick Medical Group Inc

Organization Diagnostic Radiology Physician · NPI 1972666162

Boonslick Medical Group Inc provides Diagnostic Radiology Physician services in Saint Charles, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 Boones Lick Rd
Saint Charles, MO 63301-2463
Phone: (636) 916-8228
Fax: (636) 946-5774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X (MO)

Record details

NPI number1972666162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Cusworth — President, Boonslick Med. Group Inc · (636) 947-3392
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1301 Boones Lick Rd, Saint Charles, MO 63301-2463

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