MED SPA AT ENID LIVE WELL NPI 1902437346

NPI Information

NPI: 1902437346
Provider Name: MED SPA AT ENID LIVE WELL
Classification: Internal Medicine - 207RE0101X
Specialization: Endocrinology, Diabetes & Metabolism
Entity Type: Organization
Other Name: ENID LIVE WELL
Address: 2111 N VAN BUREN ST
ENID, OK
ZIP 73703
Phone: (580) 233-4300

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NPI Details

MED SPA AT ENID LIVE WELL is an endocrinology and diabetes and metabolism internal medicine in Enid, OK. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MED SPA AT ENID LIVE WELL NPI is 1902437346. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Enid Live Well.

The provider's business location address is:

2111 N VAN BUREN ST
ENID, OK
ZIP 73703-524
Phone: (580) 233-4300
Fax: (580) 350-6401

The provider's authorized official is Viki Sharlain White .
The authorized official title is Ceo and has the following contact phone number (580) 233-4300.

The enumeration date for this NPI number is 2/3/2020 and was last updated on 11/11/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207N00000X	Dermatology		No
2	207ND0900X	Dermatology	Dermatopathology	No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	Yes
4	261QH0100X	Clinic/Center	Health Service	No
5	261QM1300X	Clinic/Center	Multi-Specialty	No
6	261QP3300X	Clinic/Center	Pain	No

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: 11/21/2025

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