Individual
MR. MICHAEL SCAMMAHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 991-6641
(918) 560-1399
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 991-6641
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81026
OK
Other
Enumeration date
03/22/2016
Last updated
05/04/2017
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