Individual
JUYOUNG SAMUEL INN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-2429
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-2429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45493
OK
Other
Enumeration date
06/30/2021
Last updated
08/29/2025
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