Search › Oklahoma › 183700000X
John Ryan Bonaobra
NPI 1578156220 · on the registry since 2021
Practice
- Address
- 1770 S Elm Pl
Broken Arrow, OK 74012 - Phone
- (918) 258-6185
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma