Doctor Name: | JON RONALD BOPP |
NPI Number: | 1891776613 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | R4646 |
Business Practice Address: | 1007 S Peoria Ave Tulsa, OK - 74120 |
Business Phone Number: | 9185871101 |
Business Fax Number: | |
Mailing Address: | 5780 S Peoria Avenue, Ppaeo Inc TULSA |
State: | OK |
Postal Code: | 741057857 |
Phone Number: | 9188585200 |
Fax Number: | 9185824921 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | R4646 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |