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PREMIERE PEDIATRICS PLLC NPI 1043354228


NPI Information

NPI: 1043354228
Provider Name: PREMIERE PEDIATRICS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 37D0469916

Address:
3261 24TH AVE NW STE 101
NORMAN, OK
ZIP 73069
Phone: (405) 364-6432
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PREMIERE PEDIATRICS PLLC is a pediatrics in Norman, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PREMIERE PEDIATRICS PLLC NPI is 1043354228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3261 24TH AVE NW STE 101
NORMAN, OK
ZIP 73069-666
Phone: (405) 364-6432
Fax: (405) 364-0090

The provider's authorized official is Breanna Dawn Wroblewski .
The authorized official title is Billing Supervisor and has the following contact phone number (405) 928-7500.

The CLIA number assigned to this NPI record is 37D0469916 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 3/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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