Individual
SCOTT A BOZONE
Active
Individual
SCOTT A BOZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R095772
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C003169
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740724889
—
MO
05
—
200787020A
—
OK
05
—
218620001
—
AR
01
—
5CD30
BCBS ARKANSAS
AR
01
—
P01813247
RAILROAD
AR
Enumeration date
12/08/2016
Last updated
06/18/2021
Update your record
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