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Individual

TANNER BOWEN CALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1200 CHILDRENS AVE # 14000, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Mailing address
906 S 2ND ST, YUKON, OK 73099-4531

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0787R
OK

Other

Enumeration date
05/30/2024
Last updated
10/07/2024
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