Individual
MARC RICHARD BOSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3545 NW 58TH ST STE 330, OKLAHOMA CITY, OK 73112-4718
(405) 819-3241
Mailing address
3545 NW 58TH ST STE 330, OKLAHOMA CITY, OK 73112-4718
(405) 819-3241
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
01/25/2009
Last updated
01/25/2009
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