Individual
MR. DAVID JOSEPH BOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COHC
Contact information
Practice address
472 POLARIS ST BLDG 586, VIRGINIA BEACH, VA 23461-1935
(757) 862-0071
(757) 862-0082
Mailing address
472 POLARIS ST BLDG 586, VIRGINIA BEACH, VA 23461-1935
(757) 862-0071
(757) 862-0082
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
—
—
156FX1202X
Optometric Technician
—
—
171000000X
Military Health Care Provider
Primary
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
2355A2700X
Audiology Assistant
—
—
242T00000X
Perfusionist
—
—
246RP1900X
Phlebotomy Technician
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
06/25/2007
Last updated
02/25/2022
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