Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 16618 | OK |
NPI | 1003816265 |
---|---|
Provider Name | James F Bischoff |
First Address | Tulsa, OK 74136-7816 |
Second Address | Tulsa, OK 74136-7816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 14/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C13472 | (02) | OK |