Marc Richard Bostian

NPI #1053559310 in Oklahoma City, Oklahoma

Provider Information

NPI Number
1053559310
Entity Type
Individual
Name
Marc Richard Bostian
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthotic Fitter
Enumeration Date
Jan 25, 2009
Last Updated
Jan 25, 2009

Practice Location

Address
3545 NW 58TH ST STE 330
ZIP Code
73112-4718
Phone
(405) 819-3241

Specialties & Taxonomy Codes

Specialty
Orthotic Fitter

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