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NPI Code Detail

MEDICARE: MICHAEL ZANN MCMAHAN MD

MEDICARE:   MICHAEL ZANN MCMAHAN  MD
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
1332900000XNon-Pharmacy Dispensing Site24591
2207Q00000XFamily Medicine Physician24591OK

General Provider Information

NPI Number : 1710064209
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ZANN MCMAHAN MD
Provider Business Mailing Address
First Line : PO BOX 31412
Second Line :
City : EDMOND
State : OK
Zip : 73003-0024
Country : US
Telephone Number : 405-916-4545
Fax Number :
Provider Business Practice Location Address
First Line : 7006 BROADWAY EXT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-9006
Country : US
Telephone Number : 405-916-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 01/24/2024

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Directions to “ MICHAEL ZANN MCMAHAN MD” Practice Location

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