Individual
DR. JOHN MICHAEL CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6151 S YALE AVE, SUITE 400, TULSA, OK 74136-1907
(918) 494-8500
(918) 307-5586
Mailing address
6151 S YALE AVE, SUITE 400, TULSA, OK 74136-1907
(918) 494-8500
(918) 307-5586
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18361
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00409612
RAILROAD MEDICARE
OK
Enumeration date
05/31/2006
Last updated
03/18/2008
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