Individual
JAMES CAGLE MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620E 117TH S ST, BIXBY, OK 74008
(918) 269-1085
(918) 299-6520
Mailing address
6620E 117TH S ST, BIXBY, OK 74008
(918) 269-1085
(918) 299-6520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9984
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099720A
—
OK
Enumeration date
07/28/2005
Last updated
09/08/2015
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