Doctor Name: | MR. JOHN ANTHONY BOVE |
NPI Number: | 1871954248 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 5200 Karluk St. Barrow, AK - 99723 |
Business Phone Number: | 9078520288 |
Business Fax Number: | |
Mailing Address: | Po Box 1971, BARROW |
State: | AK |
Postal Code: | 997231971 |
Phone Number: | 9078886239 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2016 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |