institution
Raphael Bonelle
Point of Service in Oklahoma City, Oklahoma
NPI 1184079014

Raphael Bonelle is a Point of Service based in Oklahoma City, OK. Raphael Bonelle practices in Oklahoma City, OK. The NPI Number for Raphael Bonelle is 1184079014 and holds a License No. (Oklahoma).

The current practice location address for Raphael Bonelle is 12201 Garden Ct, Oklahoma City, OK and can be reached out via phone at 405-510-4108. You can also correspond with Raphael Bonelle through the mailing address at 12201 GARDEN CT, OKLAHOMA CITY, OK - 73170-4006 (mailing address contact number: 405-510-4108).

Location: 12201 Garden Ct, Oklahoma City, OK, 73170-4006
institution
Provider Profile Details
NPI Number
1184079014
Provider Name
Raphael Bonelle
Credential
Provider Entity Type
Organization
Address
12201 Garden Ct, Oklahoma City, OK, 73170-4006
Phone Number
405-510-4108
Fax Number
Provider Enumeration Date
04/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12201 Garden Ct
City
State
Zip
73170-4006
Phone Number
405-510-4108
Fax Number
person
Provider Business Mailing Address Details
Address
12201 Garden Ct
City
State
Zip
73170-4006
Phone Number
405-510-4108
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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