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NPI Code Detail

MEDICARE: MICHAEL EDWARD HUME PA

MEDICARE:   MICHAEL EDWARD HUME  PA
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
1363A00000XPhysician AssistantPA00281OK
2363A00000XPhysician AssistantPA281OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386674984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL EDWARD HUME PA
Provider Business Mailing Address
First Line : 2512 NORTH MERIDIAN AVENUE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-1035
Country : US
Telephone Number : 405-605-5415
Fax Number : 405-605-5310
Provider Business Practice Location Address
First Line : 2512 NORTH MERIDIAN AVENUE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-1035
Country : US
Telephone Number : 405-605-5415
Fax Number : 405-605-5310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 05/27/2010

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Directions to “ MICHAEL EDWARD HUME PA” Practice Location

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