Individual
DR. AUGUSTUS L CAINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12455 E 100TH ST N STE 260, OWASSO, OK 74055-4676
(918) 274-5560
(918) 403-6336
Mailing address
12455 E 100TH ST N STE 260, OWASSO, OK 74055-4676
(918) 274-5560
(918) 403-6336
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2019014502
MO
207RC0000X
Cardiovascular Disease Physician
Primary
39728
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2013
Last updated
04/30/2024
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