Jessica L Boklan in Phoenix - Pediatric Hematology-oncology
Jessica L Boklan - NPI 1508829938
Jessica L Boklan is a Pediatric Hematology-oncology in Phoenix, Arizona. Jessica L Boklan practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Jessica L Boklan is 1508829938. The last update date is 2013-01-15.
Jessica L Boklan's current location address is 1919 E Thomas Rd, Phoenix, Arizona. You can contact this provider via phone number 6025460920 and fax number 6025460276. The mailing address for Jessica L Boklan is 1919 E Thomas Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica L Boklan |
|---|---|
| Address | 1919 E Thomas Rd, Phoenix, Arizona |
| Phone Number | 6025460920 |
| Fax Number | 6025460276 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508829938 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2013-01-15 |
Provider Mailing Address Detail
| Address | 1919 E Thomas Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850167710 |
| Phone Number | 6025460920 |
| Fax Number | 6025460276 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | 29464 |
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Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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What is the unique identification code assigned to Jessica L Boklan by the Centers for Medicare & Medicaid Services?
The Jessica L Boklan has been issued the NPI (National Provider Identifier) 1508829938. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jessica L Boklan is physically located?
The Jessica L Boklan is situated at the following address: 1919 E Thomas Rd, Phoenix, AZ 850167710.
What is the Jessica L Boklan's area of specialization and corresponding taxonomy classification?
The Jessica L Boklan's specialty field is Pediatric Hematology-oncology, and it falls under the taxonomy code 2080P0207X, which categorizes healthcare providers based on their specialties.
On what date did the Jessica L Boklan receive its 1508829938 assignment from the Centers for Medicare & Medicaid Services?
The Jessica L Boklan was assigned its 1508829938 by the Centers for Medicare & Medicaid Services on 2006-04-07.
As of what date were the Jessica L Boklan's details last updated?
The information pertaining to the Jessica L Boklan, including its address, specialty, and other details, was most recently updated on 2013-01-15.