Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN DALE BOVENKERK, D.O.
ActiveOtolaryngology · MONROE, GA
Registration Details
- NPI Number
- 1760503171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2007 (19.053105834776 yrs)
- Last Updated
- Sep 27, 2022
- Licenses
-
5101015878 (MI)82870 (GA)
Practice Information
- Address
-
2151 W SPRING ST STE B120MONROE, GA, 306553210Browse GA providers · Browse ZIP 30655
- Phone
- 7702070215
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
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.