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Individual

JOHN MICAH H POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 684-2663
(918) 681-6804
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7027
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200929540B
OK
Enumeration date
07/10/2019
Last updated
01/22/2025
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