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Individual

DR. JARROD JAMES MUEGGENBORG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4200 S DOUGLAS AVE, SUITE 306, OKLAHOMA CITY, OK 73109-3223
(405) 636-7195
Mailing address
4200 S DOUGLAS AVE, SUITE 306, OKLAHOMA CITY, OK 73109-3223
(405) 636-7195

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4935
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200297210A
OK
Enumeration date
06/25/2010
Last updated
12/15/2011
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