Individual
JOHNATHAN M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 S TELEPHONE RD STE 201, MOORE, OK 73160-2538
(405) 307-1000
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 307-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8730
OK
Other
Enumeration date
04/11/2022
Last updated
06/16/2025
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