Provider Demographics
NPI:1194965947
Name:BOKOR, WINSTON BRENT (MD)
Entity type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:BRENT
Last Name:BOKOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1526 UTE BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-7654
Mailing Address - Country:US
Mailing Address - Phone:385-520-7888
Mailing Address - Fax:865-213-9956
Practice Address - Street 1:1526 UTE BLVD STE 205
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-7654
Practice Address - Country:US
Practice Address - Phone:385-520-7888
Practice Address - Fax:865-213-9956
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT9307714-1205207RI0200X
FLME118648207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine