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Southern Oklahoma Pediatrics Inc
Specialist in Ada, Oklahoma
NPI 1780705772

Southern Oklahoma Pediatrics Inc is a Specialist based in Ada, OK. Southern Oklahoma Pediatrics Inc practices in Ada, OK. The NPI Number for Southern Oklahoma Pediatrics Inc is 1780705772 and holds a License No. 11462 (Oklahoma).

The current practice location address for Southern Oklahoma Pediatrics Inc is 1214 Arlington St, Ada, OK and can be reached out via phone at 580-436-2283 and via fax at 580-436-2291.

Location: 1214 Arlington St, Ada, OK, 74820-4045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780705772
Provider Name
Southern Oklahoma Pediatrics Inc
Credential
Provider Entity Type
Organization
Address
1214 Arlington St, Ada, OK, 74820-4045
Phone Number
580-436-2283
Fax Number
580-436-2291
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100108060 A 05 OK
100734530 A 05 OK
institution
Provider Business Practice Location Address Details
Address
1214 Arlington St
City
Ada
State
Oklahoma
Zip
74820-4045
Phone Number
580-436-2283
Fax Number
580-436-2291
person
Provider Business Mailing Address Details
Address
1214 Arlington St
City
Ada
State
Oklahoma
Zip
74820-4045
Phone Number
580-436-2283
Fax Number
580-436-2291
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11462 (Oklahoma)
Definition
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.
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