Individual provider · Type 1 NPI
Amanda Rene Bovine, DO
Addiction Medicine (Family Medicine) Physician · Muskogee, OK
NPI number
1194165258
Active
Practice location
2900 N Main St
Muskogee, OK 74401-4078
Fax (918) 300-1540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 5471 (OK) |
| Family Medicine Physician | 207Q00000X | 5471 (OK) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1194165258
Amanda Rene Bovine, DO's National Provider Identifier is 1194165258, issued on Jul 3, 2013. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Muskogee, OK. The record was last updated on Jun 22, 2026.