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OTOLOGIC MEDICAL CLINIC INC. NPI 1407984693


NPI Information

NPI: 1407984693
Provider Name: OTOLOGIC MEDICAL CLINIC, INC.
Classification: Otolaryngology - 207YX0901X
Entity Type: Organization

Specialization: Otology & Neurotology

Address:
3400 NW 56TH ST
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 946-5563
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OTOLOGIC MEDICAL CLINIC, INC. is an otology and neurotology otolaryngology in Oklahoma City, OK. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. OTOLOGIC MEDICAL CLINIC, INC. NPI is 1407984693. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 NW 56TH ST
OKLAHOMA CITY, OK
ZIP 73112-463
Phone: (405) 946-5563
Fax: (405) 947-6226

The provider's authorized official is Clarence Voth .
The authorized official title is Business Manager and has the following contact phone number (405) 946-5563.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.


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
1207YX0901XOtolaryngologyOtology & NeurotologyYes

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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