Individual
MS. JUMOK K BOTTOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4303 PITMAN & THOMAS RD, FT SILL, OK 73503
(580) 215-8494
(405) 456-7572
Mailing address
4303 PITMAN ST, FORT SILL, OK 73503-4473
(580) 483-3643
(580) 483-3643
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
1110
OK
363A00000X
Physician Assistant
Primary
1110
OK
Other
Enumeration date
07/22/2006
Last updated
06/10/2021
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