MR. Michael J. Massoni, B.S., C.C.P., L.P

NPI #1750450474 in Bethany, Oklahoma

Provider Information

NPI Number: 1750450474
Entity Type: Individual
Name: MR. Michael J. Massoni, B.S., C.C.P., L.P
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist, Other - Surgical Technologist
Credential: B.S., C.C.P., L.P
Enumeration Date: Nov 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3612 N FLAMINGO AVE
City: Bethany
State: Oklahoma
ZIP Code: 73008-3664
Phone: (405) 787-0978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X	Primary

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