John Russell Bozalis in Oklahoma City - Allergy & Immunology

John Russell Bozalis - NPI 1881691921

John Russell Bozalis is a Allergy & Immunology in Oklahoma City, Oklahoma. John Russell Bozalis practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for John Russell Bozalis is 1881691921. The last update date is 2009-05-22.

John Russell Bozalis's current location address is 750 Ne 13th Street, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052350040 and fax number 4052354495. The mailing address for John Russell Bozalis is 750 Ne 13th Street, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name John Russell Bozalis
Address 750 Ne 13th Street, Oklahoma City, Oklahoma
Phone Number 4052350040
Fax Number 4052354495
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1881691921
Provider Enumeration Date 2005-07-05
Last Updated Date 2009-05-22

Provider Mailing Address Detail

Address 750 Ne 13th Street
City Oklahoma City
State Oklahoma (OK)
Post Code 731045051
Phone Number 4052350040
Fax Number 4052354495

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No 8498
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100133760A OK --

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FAQs about John Russell Bozalis

What is the John Russell Bozalis's 1881691921?

The John Russell Bozalis's NPI (National Provider Identifier) Number is 1881691921. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where John Russell Bozalis is physically located?

The John Russell Bozalis is physically situated at the following address: 750 Ne 13Th Street, Oklahoma City, OK, 731045051.

What is John Russell Bozalis's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Russell Bozalis's area of specialization is Allergy & Immunology, and the corresponding taxonomy code that categorizes this field of practice is 207K00000X.

On what date did John Russell Bozalis receive its 1881691921 assignment from the Centers for Medicare & Medicaid Services?

The John Russell Bozalis was assigned its 1881691921 on 2005-07-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding John Russell Bozalis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Russell Bozalis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-05-22.

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