Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 21989 | OK |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 21989 | OK |
NPI | 1194753210 |
---|---|
Provider Name | James Lee Bond |
First Address | Norman, OK 73072-1810 |
Second Address | Norman, OK 73072-1810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 05/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200092770A | (05) | OK |
I45548 | (02) |