DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOE BYNUM BOURLAND, PA

Active

Physician Assistant · MIDWEST CITY, OK

Registration Details

NPI Number
1306827373
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2005 (20.450660575464 yrs)
Last Updated
Oct 4, 2023
Licenses
899 (OK)
899 (OK)
899 (OK)

Practice Information

Address
1140 S DOUGLAS BLVD
MIDWEST CITY, OK, 731305236
Browse OK providers · Browse ZIP 73130
Phone
4057338000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MIDWEST CITY, OK

Name Credential NPI
JEFFRY MICHAEL BRYEN PA 1265491237
MS. LESLEY A MUNDIS P.A. 1720045495
MR. CHAD N HUDSON P.A. 1023075124
MR. BRET R OWEN P.A. 1821046392
ALTON CRANFORD P.A. 1841345881
JULIE ANNE MERITT P.A. 1003009960
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.