Jerry C Bouman DO PC
Jerry C Bouman DO PC is a Surgery Physician in Jenks, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
715 W Main St Ste HJenks, OK 74037-3554
Phone: (918) 296-0900
Fax: (918) 296-0985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 2996 (OK) |
|---|
Record details
| NPI number | 1053522193 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Bouman — Physician · (918) 296-0900 |
| NPI enumerated | May 24, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 21568, Tulsa, OK 74121-1568 |