# JGM SPINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750513230
- **Authorized official:** DR. JIM G MELTON D.O. (OWNER/ PHYSICIAN)
- **Authorized official phone:** (405) 241-3539

## Contact information

- **Practice address:** 3200 QUAIL SPRINGS PKWY, STE 200, OKLAHOMA CITY, OK 73134-2612
- **Practice address phone:** (405) 241-3539
- **Practice address fax:** (405) 241-0998
- **Mailing address:** 3200 QUAIL SPRINGS PKWY, STE 200, OKLAHOMA CITY, OK 73134-2612
- **Mailing address phone:** (405) 241-3539
- **Mailing address fax:** (405) 241-0998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 3168 | OK | Yes |

## Other

- **Enumeration date:** 08/17/2009
- **Last updated:** 11/18/2015