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Individual

DR. JERRY CRAIG BOUMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1902 S US HIGHWAY 59 BLDG D, PARSONS, KS 67357-4955
(620) 423-1606
(620) 423-1668
Mailing address
1902 S US HIGHWAY 59 BLDG D, PARSONS, KS 67357-4955
(620) 423-1606
(620) 423-1668

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2996
OK

Other

Enumeration date
02/22/2006
Last updated
02/05/2015
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