Whalio Doctors

NPI 1194165258

Amanda Rene Bovine, DO

Practitioner Addiction Medicine (Family Medicine) Physician Muskogee, OK

Practice location

Address
2900 N Main St, Muskogee, OK 74401-4078
Phone
(918) 300-1320
Fax
(918) 300-1540

Registered specialties (2)

Addiction Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QA0401X Licence 5471 (OK)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5471 (OK)

Registry record

NPI
1194165258
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Jul 2013
Record last updated
22 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.