NATHAN BOS
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1689033649- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4401 S WESTERN AVE, OKLAHOMA CITY, OK, 731093413
- Phone
- (405) 636-7709
Specialties & Taxonomies
Emergency Medicine
License: OK #6616
Emergency Medicine
Primary License: CA #21847