| NPI | 1124118773 |
|---|---|
| Former Legal Business Name | OKLAHOMA OTOLARYNGOLOGY ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | JEREMY A MOORE President 405-755-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-05-15 |