Individual
MR. MICHAEL WAYNE HERNDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1919 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1253
(405) 285-1180
(405) 530-3307
Mailing address
4545 N LINCOLN BOULEVARD, SUITE #124, OKLAHOMA CITY, OK 73105-3413
(405) 522-7149
(405) 530-3307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02371
OK
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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