Individual
MR. JOHN ROBERT DIGIOVANNI II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
817 NW 48TH ST, OKLAHOMA CITY, OK 73118-6413
(405) 623-2782
Mailing address
817 NW 48TH ST, OKLAHOMA CITY, OK 73118-6413
(405) 623-2782
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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