GEORGE BOVASSO

TULSA, OK
NPI1528230638
Entity TypeOrganization
Authorized ContactGEORGE BOVASSO
Owner/Physician
918-586-3948
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OK  1582)
Enumeration Date2008-03-28
Last Update Date2008-03-28
Business Address
GEORGE BOVASSO
1212 E 58TH ST
TULSA, OK 74105-8401
Phone number: 918-743-1402
Mailing Address
GEORGE BOVASSO
PO BOX 6395
TULSA, OK 74148-0395
Phone number: 918-586-3948
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