Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25518 | OK |
N | 111NI0900X | Internist | 25518 | OK |
Y | 207RG0300X | Geriatric Medicine | 25518 | OK |
NPI | 1013129329 |
---|---|
Provider Name | John Maxwell Carment |
First Address | Oklahoma City, OK 73126-8838 |
Second Address | Tulsa, OK 74135-2527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 27/10/2007 |