Individual
JAMES E MAGNUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2821 36TH AVE NW STE 200, NORMAN, OK 73072-2477
(405) 307-1000
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 307-1000
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2713
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090410A
—
OK
01
—
240005407
RR MEDICARE
OK
Enumeration date
06/27/2006
Last updated
06/05/2024
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