Individual
DR. THEODORE ALAN BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 W TECUMSEH RD STE 101, NORMAN, OK 73072-1810
(405) 360-6764
(405) 360-6769
Mailing address
3400 W TECUMSEH RD STE 101, NORMAN, OK 73072-1810
(405) 360-6764
(405) 360-6769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23491
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
23491
OK
Other
Enumeration date
06/28/2006
Last updated
05/11/2016
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