Dr. Jacob Borgsmiller, DO
Family Medicine in Shawnee, OK. Individual provider (NPI-1).
NPI number1629518295
StatusActive
Last updated in NPPESOct 16, 2020
Details
- NPI
- 1629518295
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Borgsmiller
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2017
- Certification date
- Oct 16, 2020
- Last updated
- Oct 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 6141 | OK | Yes |
| 207Q00000X | Family Medicine | 0124R | OK |
Practice location
3315 Kethley RdShawnee, OK 74804-9638
Phone 405-273-5801 · Fax 405-878-3794
Mailing address
3315 Kethley RdShawnee, OK 74804-9638
Phone 405-273-5801 · Fax 405-878-3794
Other practice locations
1600 W University Blvd
Durant, OK 74701-3094
Durant, OK 74701-3094
Phone 580-924-5500 · Fax 580-924-1991
3315 Kethley Rd
Shawnee, OK 74804-9638
Shawnee, OK 74804-9638
Phone 405-273-5801 · Fax 405-878-3794
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