Provider Demographics
NPI:1013058452
Name:BOVA, ABBY R (MD)
Entity Type:Individual
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First Name:ABBY
Middle Name:R
Last Name:BOVA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4401 W MEMORIAL RD
Mailing Address - Street 2:140
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1785
Mailing Address - Country:US
Mailing Address - Phone:405-752-3162
Mailing Address - Fax:405-936-5211
Practice Address - Street 1:4205 MCAULEY BLVD
Practice Address - Street 2:STE 375
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9391
Practice Address - Country:US
Practice Address - Phone:405-751-4343
Practice Address - Fax:405-751-4346
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2014-04-21
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Provider Licenses
StateLicense IDTaxonomies
OK22544207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology