Individual
JOHNATHAN DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 BRYAN DR STE 201, DURANT, OK 74701-2157
(580) 924-5500
Mailing address
2709 ROBIN HOOD PL, DURANT, OK 74701-1845
(580) 434-2533
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
04/02/2026
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