Individual
ROBERT OMAR BOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 495-2600
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1168
OK
Other
Enumeration date
02/22/2008
Last updated
08/22/2016
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