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OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC NPI 1124118773


NPI Information

NPI: 1124118773
Provider Name: OKLAHOMA OTOLARYNGOLOGY ASSOCIATES, LLC

Former Legal Business Name: OKLAHOMA OTOLARYNGOLOGY ASSOCIATES, PC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3033 NW 63RD STREET
152E
OKLAHOMA CITY, OK
ZIP 73116
Phone: (405) 755-6651
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OKLAHOMA OTOLARYNGOLOGY ASSOCIATES, LLC is a specialist in Oklahoma City, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OKLAHOMA OTOLARYNGOLOGY ASSOCIATES, LLC NPI is 1124118773. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Oklahoma Otolaryngology Associates, Pc.

The provider's business location address is:

3033 NW 63RD STREET
152E
OKLAHOMA CITY, OK
ZIP 73116-634
Phone: (405) 755-6651
Fax: (405) 755-2795

The provider's authorized official is Jeremy A Moore .
The authorized official title is President and has the following contact phone number (405) 755-6651.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 5/15/2023.


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
1174400000XSpecialistYes

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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