| Michael Bova M D S C | |
|
2524 Farragut Dr Suite C Springfield IL 62704-8400 | |
| (217) 726-9346 | |
| Not Available |
| Full Name | Michael Bova M D S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 2524 Farragut Dr, Springfield, Illinois |
| Authorized Official Name and Position | Michael P Bova (PRESIDENT) |
| Authorized Official Contact | 2177269346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bova M D S C 2524 Farragut Dr Suite C Springfield IL 62704-8400 Ph: (217) 726-9346 | Michael Bova M D S C 2524 Farragut Dr Suite C Springfield IL 62704-8400 Ph: (217) 726-9346 |
| NPI Number | 1063538809 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063538809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36075342 (Illinois) | Primary |
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