Doctor Name: | DR. JOHN RAYMOND TRAMMELL |
NPI Number: | 1962614180 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 07439 |
Business Practice Address: | 3300 N Martin Luther King Ave Medical Services Unit Oklahoma City, OK - 731114217 |
Business Phone Number: | 4054252932 |
Business Fax Number: | |
Mailing Address: | 23201 N Briarwood Dr, EDMOND |
State: | OK |
Postal Code: | 730039429 |
Phone Number: | 4053483558 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 07439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |