Individual
DR. JEFFREY C CUMMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 12TH AVE NW, SUITE B, ARDMORE, OK 73401-1206
(580) 223-4795
(580) 223-5184
Mailing address
2002 12TH AVE NW, SUITE B, ARDMORE, OK 73401-1206
(580) 223-4795
(580) 223-5184
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22256
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200067020A
—
OK
01
—
P00257715
RAILROAD MEDICARE
OK
Enumeration date
04/14/2006
Last updated
04/01/2011
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