Dr. Sofya Ilmer
General Practice Physician
72d Medical Group, 7050 Air Depot Blvd Blvd 1094
Tinker Afb
, Oklahoma 73145-8716
Dr. Sofya Ilmer
General Practice Physician
72d Medical Group, 7050 Air Depot Blvd Blvd 1094
Tinker Afb
, Oklahoma 73145-8716
(405) 582-6610
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Sofya Ilmer
- 7050 Air Depot Blvd Bldg 1094
- Tinker Afb, OK
- Zip : 73145-8716
- Phone : (405) 582-6610
Second Address
- Dr. Sofya Ilmer
- 72d Medical Group, 7050 Air Depot Blvd Blvd 1094
- Tinker Afb, OK
- Zip : 73145-8716
- Phone : (405) 582-6610
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 285311 | NY |
National Provider Identifier
| NPI | 1013302322 |
|---|---|
| Provider Name | Dr. Sofya Ilmer |
| First Address | Tinker Afb, OK 73145-8716 |
| Second Address | Tinker Afb, OK 73145-8716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/04/2015 |
| Last Update Date | 24/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.