Individual
DR. JEREMY BOUWHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(833) 286-3732
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(833) 286-3732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6921
OK
Other
Enumeration date
02/11/2016
Last updated
03/25/2025
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