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NPI 1942807656 · on the registry since 2020
Practice
- Address
- 630 Elm Ave
Norman, OK 73019 - Phone
- (405) 325-4611
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2020-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma