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Individual

JONATHAN M. KNOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5201 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2004
(405) 755-4050
(405) 749-9566
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3130
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080141683
RAILROAD
OK
05
100149420A
OK
01
20695
OBNDD
OK
01
3130
LICENSE
OK
Enumeration date
06/27/2006
Last updated
05/20/2014
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