Provider Demographics
NPI:1427197482
Name:NORTH, JUSTIN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:C
Last Name:NORTH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:940 NE 13TH ST
Mailing Address - Street 2:4G4250
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5008
Mailing Address - Country:US
Mailing Address - Phone:405-271-5125
Mailing Address - Fax:405-271-3462
Practice Address - Street 1:940 NE 13TH ST
Practice Address - Street 2:4G4250
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5008
Practice Address - Country:US
Practice Address - Phone:405-271-5125
Practice Address - Fax:405-271-3462
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2011-02-07
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Provider Licenses
StateLicense IDTaxonomies
OK236012085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology