Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID RANDALL BOKULICH, ATC
ActiveMR. DAVID RANDALL BOKULICH, ATC is a Athletic Trainer healthcare provider located in TYRONE, Pennsylvania. NPI 1740254077 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TYRONE, PA
Registration Details
- NPI Number
- 1740254077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2006 (20.476747138966 yrs)
- Last Updated
- Jan 15, 2021
Practice Information
- Address
-
5459 E PLEASANT VALLEY BLVDTYRONE, PA, 166868551Browse PA providers · Browse ZIP 16686
- Phone
- 8146827267
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.