Individual
DR. JOHNNY A ZELLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 ELKS ROAD, MCALESTER, OK 74501
(918) 426-2442
(918) 426-0888
Mailing address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 421-8066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20237
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228090A
—
OK
Enumeration date
06/23/2006
Last updated
09/09/2022
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