Michael Bova M D S C

NPI #1063538809 in Springfield, Illinois

Provider Information

NPI Number: 1063538809
Entity Type: Organization
Organization Name: Michael Bova M D S C
Primary Specialty: Internal Medicine
Enumeration Date: Mar 22, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 2524 FARRAGUT DR
Address 2: SUITE C
City: Springfield
State: Illinois
ZIP Code: 62704-8400
Phone: (217) 726-9346

Authorized Official

Name: DR. MICHAEL P BOVA, MD
Title: PRESIDENT
Phone: (217) 726-9346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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