City Of Oklahoma City

Specialty details in registry · Oklahoma City, OK

Call (405) 297-3314 Directions

At a glance

820 Nw 5Th St, Oklahoma City, OK 73106-7425

NPPES record updated Jul 17, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

820 Nw 5Th St
Oklahoma City, OK 73106-7425
Professional details: NPI, taxonomy & registry record
NPI1356110407
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3416L0300X
Enumeration date
Dec 29, 2023
Record updated
Jul 17, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3416L0300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

820 Nw 5Th St
Oklahoma City, OK 73106-7425
Phone
(405) 297-3314
Mailing address
820 NW 5TH ST

OKLAHOMA CITY, OK 731067425
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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