Individual
MS. ELIZABETH YUN BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 582-6665
(405) 736-3619
Mailing address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 582-6665
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710/1002X
MILITARY IDC
—
Enumeration date
04/23/2013
Last updated
03/18/2022
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