Michael D John MD PC

NPI #1912043019 in Edmond, Oklahoma

Provider Information

NPI Number: 1912043019
Entity Type: Organization
Organization Name: Michael D John MD PC
Primary Specialty: Dermatology
Enumeration Date: Jan 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 620 W 15TH ST
City: Edmond
State: Oklahoma
ZIP Code: 73013-3617
Phone: (405) 359-0551

Authorized Official

Name: MICHAEL D JOHN, MD
Title: PRESIDENT
Phone: (405) 359-0551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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