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Individual

DON RICHARD ISHMAEL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
230 N MIDWEST BLVD, MIDWEST CITY, OK 73110-4321
(405) 737-8455
(405) 739-8707
Mailing address
230 N MIDWEST BLVD, MIDWEST CITY, OK 73110-4321
(405) 737-8455
(405) 739-8707

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9759
OK

Other

Enumeration date
07/28/2005
Last updated
07/08/2007
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