Bozarth, Gordon R.

Bozarth, Gordon R. is an individual health care provider with primary practice located at 3220 Hospital Dr , Juneau AK 99801-7808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bozarth, Gordon R. can be contacted via phone (907) 364-2663.

Contact Information

Primary practice address
3220 Hospital Dr Juneau AK 99801-7808
Phone: (907) 364-2663
Fax: (907) 364-2662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5470 Alaska

Profile Details

NPI number 1144254830
LBN Legal business name Bozarth, Gordon R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144254830 NPPES
Alaska MEDICAID MD53872

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