Individual
JON C AXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 N GRAND BLVD, SUITE 200, OKLAHOMA CITY, OK 73112-5647
(405) 942-8545
(405) 947-6854
Mailing address
PO BOX 2263, OKLAHOMA CITY, OK 73101-2263
(405) 942-8545
(405) 947-6854
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10228
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110970A
—
OK
Enumeration date
12/20/2006
Last updated
04/10/2017
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