Individual
JOHN K BINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 W CHEROKEE ST STE C, WAGONER, OK 74467-4629
(918) 485-1205
(918) 485-1695
Mailing address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-5514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34066
OK
208600000X
Surgery Physician
M0664
TX
2086S0102X
Surgical Critical Care Physician
34066
OK
2086S0127X
Trauma Surgery Physician
34066
OK
2086S0127X
Trauma Surgery Physician
35.122564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094864
—
OH
Enumeration date
04/09/2007
Last updated
09/01/2022
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