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Organization

JERRY C BOUMAN DO PC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY CRAIG BOUMAN DO (OWNER)
(620) 423-1606
Entity
Organization

Contact information

Practice address
1902 S US HIGHWAY 59, PARSONS, KS 67357-4948
(620) 423-1606
(620) 423-1668
Mailing address
1902 S HWY 59 BLDG D, PARSONS, KS 67357-4955
(620) 423-1606
(620) 423-1668

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0524097
KS

Other

Enumeration date
01/16/2009
Last updated
04/02/2009
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