NPI 1184079014

Raphael Bonelle

Organisation Point of Service Oklahoma City, OK

Practice location

Address: 12201 Garden CT, Oklahoma City, OK 73170-4006
Phone: (405) 510-4108

Authorised official

Name: Raphael Bonelle
Title: Case Manager
Phone: (405) 510-4108

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Oklahoma →

Registry record

NPI: 1184079014
Entity type: Organization
NPI issued: 28 Apr 2016
Record last updated: 28 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.