Individual
DR. JOHN D MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 S WHEELING AVE, SUITE 302, TULSA, OK 74104-5638
(918) 749-8393
(918) 747-3112
Mailing address
PO BOX 21228, DEPT 262, TULSA, OK 74121-1228
(918) 749-8393
(918) 747-3112
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13543
OK
207Y00000X
Otolaryngology Physician
13894
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257800B
—
OK
Enumeration date
10/20/2005
Last updated
10/17/2007
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