is a Pediatrics in Oklahoma City, Oklahoma. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for is 1477603496. The last update date is .
's current location address is 3330 Nw 56th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059454220 and fax number 4059454893. The mailing address for is 3330 Nw 56th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3330 Nw 56th St, Oklahoma City, Oklahoma |
| Phone Number | 4059454220 |
| Fax Number | 4059454893 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1477603496 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3330 Nw 56th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731124479 |
| Phone Number | 4059454220 |
| Fax Number | 4059454893 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R0043444 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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