Individual
BETHANY MARIE DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4021 S WALKER AVE STE 201, OKLAHOMA CITY, OK 73109
(405) 632-6688
(405) 595-3247
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
009821
AZ
207Q00000X
Family Medicine Physician
Primary
6327
OK
207Q00000X
Family Medicine Physician
Q4083
TX
Other
Enumeration date
08/01/2008
Last updated
11/28/2023
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