Jumok K Bottoms in Fort Sill - Physician Assistant
Jumok K Bottoms - NPI 1124049481
Jumok K Bottoms is a Physician Assistant in Fort Sill, Oklahoma. Jumok K Bottoms practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jumok K Bottoms is 1124049481. The last update date is 2021-06-10.
Jumok K Bottoms's current location address is 4303 Pitman St, Fort Sill, Oklahoma. You can contact this provider via phone number 5804833643 and fax number 5804833643. The mailing address for Jumok K Bottoms is 4303 Pitman St, Fort Sill, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jumok K Bottoms |
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Address | 4303 Pitman St, Fort Sill, Oklahoma |
Phone Number | 5804833643 |
Fax Number | 5804833643 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1124049481 |
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Provider Enumeration Date | 2006-07-22 |
Last Updated Date | 2021-06-10 |
Provider Mailing Address Detail
Address | 4303 Pitman St |
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City | Fort Sill |
State | Oklahoma (OK) |
Post Code | 735034473 |
Phone Number | 5804833643 |
Fax Number | 5804833643 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1110 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jumok K Bottoms by the Centers for Medicare & Medicaid Services?
The Jumok K Bottoms has been issued the NPI (National Provider Identifier) 1124049481, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jumok K Bottoms is located?
The Jumok K Bottoms is situated at the following address: 4303 Pitman St, Fort Sill, OK, 735034473.
What is Jumok K Bottoms's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jumok K Bottoms's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124049481 to Jumok K Bottoms?
The Centers for Medicare & Medicaid Services originally issued the 1124049481 to Jumok K Bottoms on 2006-07-22.
As of what date was the information pertaining to Jumok K Bottoms, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jumok K Bottoms, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-10.