Doctor Name: | RALPH S BOVARD |
NPI Number: | 1194785279 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 29313 |
Business Practice Address: | 205 S Wabasha St Mail Stop 31300a Healthpartners St. Paul Clinic St. Paul, MN - 551071805 |
Business Phone Number: | 6512938100 |
Business Fax Number: | 6512938106 |
Mailing Address: | 205 Wabasha St S, Attn: Ralph Bovard Healthpartners SAINT PAUL |
State: | MN |
Postal Code: | 551071805 |
Phone Number: | 6512938100 |
Fax Number: | 6512938106 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | 29313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |