Organization
COREY E. MAYO D.O. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL MURRAY BSBA MS (ADMINISTRATOR)
(405) 418-4505
Entity
Organization
Contact information
Practice address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(405) 418-4500
(405) 418-4501
Mailing address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(405) 418-4500
(405) 418-4501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4862
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200292750A
—
OK
Enumeration date
06/16/2010
Last updated
07/21/2022
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