Individual
MR. SCOTT ALAN BOEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
409 E CALIFORNIA AVE, 100, OKLAHOMA CITY, OK 73104-4224
(405) 858-5200
Mailing address
409 E CALIFORNIA AVE, 100, OKLAHOMA CITY, OK 73104-4224
(405) 858-5200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4
OK
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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