DEKODA KOLE BOST

MERCY CLINIC OKLAHOMA COMMUNITIES

Dr DEKODA KOLE BOST is a male medical professional, specializing in Family Medicine. He graduated in 2011.

Contact

MERCY CLINIC OKLAHOMA COMMUNITIES

11900 NW EXPRESSWAY
YUKON
OK
730998795

Tel: 4052839300

DEKODA KOLE BOST Information

Npi 1952609885
Pac Id 9133346976
Professional Enrollment Id I20180703001981
Last Name BOST
First Name DEKODA
Middle Name KOLE
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Group Practice Pac Id 1153468921
Number Of Group Practice Members 417
Line 1 Street Address 11900 NW EXPRESSWAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City YUKON
State OK
Zip Code 730998795
Phone Number 4052839300
Hospital Affiliation Ccn 1 370013
Hospital Affiliation Lbn 1 MERCY HOSPITAL OKLAHOMA CITY, INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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