DR. Stephen Dale Bovenkerk, D.O.

NPI #1760503171 in Monroe, Georgia

Provider Information

NPI Number: 1760503171
Entity Type: Individual
Name: DR. Stephen Dale Bovenkerk, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: D.O.
Enumeration Date: Apr 3, 2007
Last Updated: Sep 27, 2022

Practice Location

Address: 2151 W SPRING ST STE B120
City: Monroe
State: Georgia
ZIP Code: 30655-3210
Phone: (770) 207-0215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery	207YX0905X
Otolaryngology	207Y00000X	Primary

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