Jacob Bauchou

NPI #1104549070 in Tulsa, Oklahoma

Provider Information

NPI Number: 1104549070
Entity Type: Individual
Name: Jacob Bauchou
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Sep 26, 2022
Last Updated: Nov 7, 2023

Practice Location

Address: 10390 E 21ST ST
City: Tulsa
State: Oklahoma
ZIP Code: 74129-1606
Phone: (918) 665-7077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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