Jerry C Bouman Do PC

NPI #1053522193 in Jenks, Oklahoma

Provider Information

NPI Number: 1053522193
Entity Type: Organization
Organization Name: Jerry C Bouman Do PC
Primary Specialty: Surgery
Enumeration Date: May 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 715 W MAIN ST
Address 2: SUITE H
City: Jenks
State: Oklahoma
ZIP Code: 74037-3554
Phone: (918) 296-0900

Authorized Official

Name: JERRY BOUMAN, MD
Title: PHYSICIAN
Phone: (918) 296-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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