is a Otolaryngology in Oklahoma City, Oklahoma. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for is 1063463669. The last update date is .
's current location address is 10958 N May Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056054368. The mailing address for is 10958 N May Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 10958 N May Ave, Oklahoma City, Oklahoma |
| Phone Number | 4056054368 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063463669 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 10958 N May Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731206202 |
| Phone Number | 4056054368 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 46200 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200087530A | OK | -- |
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