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Contact Information

JUMOK K BOTTOMS, PA
4303 PITMAN & THOMAS RD
FORT SILL, OK73503
 Phone: 580-215-8494
 Fax: 405-456-7572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JUMOK K BOTTOMS · (Female)

NPI Number 1124049481
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/22/2006
Last updated 06/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1110
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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