Organization
NORTHWEST OKLAHOMA CARDIOVASCULAR CONSULTANTS PC
Active
Organization
NORTHWEST OKLAHOMA CARDIOVASCULAR CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH BARTOLOZZI II MD (OWNER)
(580) 242-5800
Entity
Organization
Contact information
Practice address
2411 HERITAGE TRL STE 10, ENID, OK 73703-1652
(580) 242-5800
(580) 242-5881
Mailing address
PO BOX 946, ENID, OK 73702-0946
(580) 242-5800
(580) 242-5881
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21462
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021920A
—
OK
01
—
DA4205
RAILROAD MEDICARE
OK
Enumeration date
10/12/2006
Last updated
01/21/2016
Update your record
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