Individual
JOHN S. MUCHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 N PORTLAND AVE STE 410, OKLAHOMA CITY, OK 73112-2131
(405) 945-4700
(405) 945-4270
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 945-4700
(405) 945-4270
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
10850
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116630B
—
OK
Enumeration date
05/21/2006
Last updated
02/01/2021
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