Individual
CATRINA F. BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1820 COMMONS CIRCLE, SUITE A, YUKON, OK 73099-9518
(405) 265-2778
(405) 494-7274
Mailing address
609 STONEMILL BLVD, YUKON, OK 73099-5770
(405) 919-3332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23458
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200012660A
—
OK
Enumeration date
06/06/2006
Last updated
07/25/2016
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