Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | 10150 | MT |
NPI | 1053644344 |
---|---|
Provider Name | Alexander Bokor |
First Address | Kalispell, MT 59904-0625 |
Second Address | Kalispell, MT 59901-6119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2009 |
Last Update Date | 23/03/2015 |