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DR. JOHN RUSSELL BOZALIS MD NPI 1881691921


NPI Information

NPI: 1881691921
Provider Name: DR. JOHN RUSSELL BOZALIS, MD
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual
Address:
750 NE 13TH ST
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 235-0040
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DR. John Russell Bozalis, MD is an allergy immunology in Oklahoma City, OK. The provider is 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 to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. John Russell Bozalis, MD NPI is 1881691921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 NE 13TH ST
OKLAHOMA CITY, OK
ZIP 73104-051
Phone: (405) 235-0040
Fax: (405) 235-4495

The enumeration date for this NPI number is 7/5/2005 and was last updated on 5/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology8498OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C94714MEDICARE UPIN
2100133760AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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