Organization · Type 2 NPI

Jerry C Bouman Do PC

Surgery Physician · Jenks, OK

NPI number 1053522193 Active

Practice location

715 W Main St, Suite H
Jenks, OK 74037-3554

Fax (918) 296-0985

Mailing address

PO Box 21568
Tulsa, OK 74121-1568

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X2996 (OK)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

8 other providers at this address

About NPI 1053522193

Jerry C Bouman Do PC's National Provider Identifier is 1053522193, issued on May 24, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Jenks, OK. The record was last updated on Aug 22, 2020.