Individual
CHRISTIAN MANGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4345 W MEMORIAL RD STE 110, OKLAHOMA CITY, OK 73134-1717
(405) 951-4160
(405) 951-4162
Mailing address
4345 W MEMORIAL RD STE 110, OKLAHOMA CITY, OK 73134-1717
(405) 951-4160
(405) 951-4162
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5773
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
6901
NE
Other
Enumeration date
04/28/2010
Last updated
04/23/2024
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