John L Bouzis

NPI #1720470164 in Casper, Wyoming

Provider Information

NPI Number: 1720470164
Entity Type: Organization
Organization Name: John L Bouzis
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Feb 23, 2015
Last Updated: Feb 23, 2015

Practice Location

Address: 130 N ASH ST
Address 2: SUITE 202
City: Casper
State: Wyoming
ZIP Code: 82601-1821
Phone: (307) 265-3595

Authorized Official

Name: DR. JOHN L BOUZIS, D.D.S.
Title: OWNER
Phone: (307) 265-3595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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