Individual
MR. DEKODA KOLE BOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11900 NW EXPRESSWAY, YUKON, OK 73099
(405) 283-9300
(405) 283-9301
Mailing address
11900 NW EXPRESSWAY, YUKON, OK 73099-8795
(405) 283-9300
(405) 283-9301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5187
OK
Other
Enumeration date
03/01/2011
Last updated
08/09/2018
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