Joe Bynum Bourland, PA

NPI #1306827373 in Midwest City, Oklahoma

Provider Information

NPI Number: 1306827373
Entity Type: Individual
Name: Joe Bynum Bourland, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 8, 2005
Last Updated: Oct 4, 2023

Practice Location

Address: 1140 S DOUGLAS BLVD
City: Midwest City
State: Oklahoma
ZIP Code: 73130-5236
Phone: (405) 733-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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