Organization · Type 2 NPI

Raphael Bonelle

Point of Service · Oklahoma City, OK

NPI number 1184079014 Active

Practice location

12201 Garden Ct
Oklahoma City, OK 73170-4006

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1184079014

Raphael Bonelle's National Provider Identifier is 1184079014, issued on Apr 28, 2016. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 28, 2016.