MS. Tina M Bousman, PA-C
NPI #1598751901 in Oak Lawn, Illinois
Provider Information
- NPI Number
- 1598751901
- Entity Type
- Individual
- Name
- MS. Tina M Bousman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 21, 2005
- Last Updated
- May 17, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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