Individual provider · NPI-1

Amanda Rene Bovine, D.O.

Family Medicine, Addiction Medicine · Muskogee, OK

NPI number1194165258
StatusActive
Last updated in NPPESJun 22, 2026

Details

NPI
1194165258
Entity type
Individual (NPI-1)
Name
Amanda Rene Bovine
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2013
Certification date
Jun 22, 2026
Last updated
Jun 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0401X Family Medicine, Addiction Medicine5471OKYes
207Q00000X Family Medicine5471OK

Other names

  • Amanda Rene Reed (Former Name)

Practice location

2900 N Main St
Muskogee, OK 74401-4078

Phone 918-300-1320 · Fax 918-300-1540

Mailing address

2900 N Main St
Muskogee, OK 74401-4078

Phone 918-300-1320 · Fax 918-300-1540

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine, Addiction Medicine providers in Muskogee, OK