Individual
MICHAEL EDWARD HUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2512 NORTH MERIDIAN AVENUE, OKLAHOMA CITY, OK 73107-1035
(405) 605-5415
(405) 605-5310
Mailing address
2512 NORTH MERIDIAN AVENUE, OKLAHOMA CITY, OK 73107-1035
(405) 605-5415
(405) 605-5310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00281
OK
363A00000X
Physician Assistant
Primary
PA281
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187100A
—
OK
Enumeration date
07/03/2006
Last updated
05/27/2010
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