Individual provider · Type 1 NPI
John Patrick Bossalini, DO
General Practice Physician · Beale Afb, CA
NPI number
1396247441
Active
Practice location
15301 Warren Shingle Rd
Beale Afb, CA 95903-1907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | 0102205749 (VA) |
| General Practice Physician Primary | 208D00000X | 0102205749 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1396247441
John Patrick Bossalini, DO's National Provider Identifier is 1396247441, issued on Mar 5, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Beale Afb, CA. The record was last updated on Oct 18, 2019.