institution
Randall W. Henthorn Md Pc
Specialist in Oklahoma City, Oklahoma
NPI 1851429047

Randall W. Henthorn Md Pc is a Specialist based in Oklahoma City, OK. Randall W. Henthorn Md Pc practices in Oklahoma City, OK. The NPI Number for Randall W. Henthorn Md Pc is 1851429047 and holds a License No. 11470 (Oklahoma).

The current practice location address for Randall W. Henthorn Md Pc is 520 N Meridian Ave, Oklahoma City, OK and can be reached out via phone at 405-736-9331 and via fax at 405-736-0497.

Location: 520 N Meridian Ave, Oklahoma City, OK, 73107-5723
institution
Provider Profile Details
NPI Number
1851429047
Provider Name
Randall W. Henthorn Md Pc
Credential
Provider Entity Type
Organization
Address
520 N Meridian Ave, Oklahoma City, OK, 73107-5723
Phone Number
405-736-9331
Fax Number
405-736-0497
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
731069171007 01 OK BLUE CROSS BLUE SHIELD
352500500 01 FEDERAL WORKERS COMP
050080210 01 OK RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
520 N Meridian Ave
City
State
Zip
73107-5723
Phone Number
405-736-9331
Fax Number
405-736-0497
person
Provider Business Mailing Address Details
Address
520 N Meridian Ave
City
State
Zip
73107-5723
Phone Number
405-736-9331
Fax Number
405-736-0497
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
11470 (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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