Search › Oklahoma › 363LF0000X
Douglas Mukorombindo
NPI 1326764127 · on the registry since 2022
Practice
- Address
- 5400 E Memorial Rd
Edmond, OK 73013 - Phone
- (405) 459-7016
Additional practice sites
- 247 Moncrief Dr, Valparaiso, IN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma