Individual
MATTHEW JAMES BOKAMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-3001
Mailing address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2023019897
MO
Other
Enumeration date
04/12/2023
Last updated
06/25/2024
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