Individual
DR. BERNARD GEORGE BOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1014 D A BIGLANE DR, BROOKHAVEN, MS 39601-2331
(601) 833-7973
(601) 823-3514
Mailing address
606 3RD ST, MCCOMB, MS 39648-5102
(601) 341-0985
(601) 823-3514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MS17139
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124985
—
MS
01
—
P00295674
RAILROAD MEDICARE
MS
Enumeration date
08/23/2006
Last updated
07/08/2007
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