| Bruce Josten D.o.p.a. | |
|
2622 Jenks Ave Panama City FL 32405-4311 | |
| (850) 784-3621 | |
| Not Available |
| Full Name | Bruce Josten D.o.p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2622 Jenks Ave, Panama City, Florida |
| Authorized Official Name and Position | Bruce Josten (PHYSICIAN) |
| Authorized Official Contact | 8507843621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Josten D.o.p.a. 2622 Jenks Ave Panama City FL 32405-4311 Ph: () - | Bruce Josten D.o.p.a. 2622 Jenks Ave Panama City FL 32405-4311 Ph: (850) 784-3621 |
| NPI Number | 1447521232 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 02/13/2012 |
| Medicare PECOS PAC ID | 0345407755 |
|---|---|
| Medicare Enrollment ID | O20120213000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447521232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce E Josten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720145881 PECOS PAC ID: 6002963006 Enrollment ID: I20090408000539 |
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