OMID ROOSTAEYAN

EDMOND, OK
NPI1164929774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  37981)
Enumeration Date2018-04-10
Last Update Date2021-07-20
Business Address
OMID ROOSTAEYAN MD
18503 N PORTLAND AVE
EDMOND, OK 73012-9149
Phone number: 405-531-4271
Mailing Address
OMID ROOSTAEYAN MD
18503 N PORTLAND AVE
EDMOND, OK 73012-9149
Phone number: 405-531-4271