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NPI Code Detail

MEDICARE: JOHN R RESNEDER MD PC

MEDICARE: JOHN R RESNEDER MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist12326OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11316989205OTHEROKNPI INDIVIDUAL

General Provider Information

NPI Number : 1770751299
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN R RESNEDER MD PC
Provider Business Mailing Address
First Line : 900 N PORTER AVE STE 110
Second Line :
City : NORMAN
State : OK
Zip : 73071-6426
Country : US
Telephone Number : 405-366-8900
Fax Number : 405-366-8903
Provider Business Practice Location Address
First Line : 900 N PORTER AVE STE 110
Second Line :
City : NORMAN
State : OK
Zip : 73071-6426
Country : US
Telephone Number : 405-366-8900
Fax Number : 405-366-8903
Authorized Official
Title or Position : PHYSICIAN
Name : DR. JOHN RAY RESNEDER
Credential : M.D.
Telephone Number : 405-366-8900
Provider Enumeration Date : 02/19/2008
Last Update Date : 02/19/2008

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