Paul G Bizzle
Orthopaedic Surgeon
327 Hickory Dr
Tahlequah
, Oklahoma 74464-5115
Paul G Bizzle
Orthopaedic Surgeon
327 Hickory Dr
Tahlequah
, Oklahoma 74464-5115
(918) 453-0023
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Paul G Bizzle
- Po Box 1799
- Tahlequah, OK
- Zip : 74465-1799
- Fax : (918) 453-0023
- Phone : (918) 453-0023
Second Address
- Paul G Bizzle
- 327 Hickory Dr
- Tahlequah, OK
- Zip : 74464-5115
- Fax : (918) 453-0023
- Phone : (918) 453-0023
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Is Paul G Bizzle a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 3240 | OK |
National Provider Identifier
| NPI | 1033211941 |
|---|---|
| Provider Name | Paul G Bizzle |
| First Address | Tahlequah, OK 74465-1799 |
| Second Address | Tahlequah, OK 74464-5115 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 19/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0516550001 | CIGNA GOVERNMENT SERVICES (01) | OK |
| 200033584 | RAILROAD MEDICARE (01) | OK |
| E55529 | (02) |
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.