Individual
DR. ANTOINE J.M. JUMELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7015
Mailing address
1825 S 13TH ST, MCALESTER, OK 74501-7131
(918) 426-6519
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17244
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117244
—
OK
Enumeration date
02/23/2006
Last updated
06/17/2011
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