Individual
GEORGE JOSEPH BOVASSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
940 E 36TH ST N, TULSA, OK 74106-1953
(918) 428-2538
Mailing address
7659 S QUEBEC AVE, TULSA, OK 74136-8102
(918) 428-2538
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1582
OK
Other
Enumeration date
08/27/2006
Last updated
11/21/2014
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