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Individual

MR. JACK R. DONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 2ND AVE SW, SUITE 201, MIAMI, OK 74354-6702
(918) 542-8477
(918) 542-6422
Mailing address
310 2ND AVE SW, SUITE 201, MIAMI, OK 74354-6702
(918) 542-8477
(918) 542-6422

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
11653
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
11653
OK

Other

Enumeration date
03/24/2006
Last updated
04/11/2023
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