Elwood Paul Bowerman Llc | |
8404 Pinewood Dr Oklahoma City OK 73135-6174 | |
(405) 620-1594 | |
Not Available |
Full Name | Elwood Paul Bowerman Llc |
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Speciality | Counselor - Professional |
Location | 8404 Pinewood Dr, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Elwood Paul Bowerman (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 4056201594 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elwood Paul Bowerman Llc 8404 Pinewood Dr Oklahoma City OK 73135-6174 Ph: (405) 620-1594 | Elwood Paul Bowerman Llc 8404 Pinewood Dr Oklahoma City OK 73135-6174 Ph: (405) 620-1594 |
NPI Number | 1154569846 |
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Provider Enumeration Date | 02/03/2009 |
Last Update Date | 02/03/2009 |
Identifier | Type | State | Issuer |
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1154569846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 568 (Oklahoma) | Primary |
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