Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 22544 | OK |
NPI | 1013058452 |
---|---|
Provider Name | Abby R Bova |
First Address | Oklahoma City, OK 73134-1785 |
Second Address | Oklahoma City, OK 73120-9391 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 21/04/2014 |