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
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