Individual
JOHNNY RUSSELL MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5915 W MEMORIAL RD, SUITE 200, OKLAHOMA CITY, OK 73142-2021
(405) 773-6400
(405) 621-5441
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 773-6400
(405) 621-5441
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
21667
OK
Other
Enumeration date
06/09/2006
Last updated
06/27/2017
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