SOUTHEASTERN OKLAHOMA NEUROSCIENCES

ADA, OK
NPI1609048545
Entity TypeOrganization
Authorized ContactKIMBALL N PRATT
Physician
580-272-0018
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Enumeration Date2008-04-01
Last Update Date2008-09-12
Business Address
SOUTHEASTERN OKLAHOMA NEUROSCIENCES
520 N MONTE VISTA ST STE C
ADA, OK 74820-4674
Phone number: 580-272-0018
Mailing Address
SOUTHEASTERN OKLAHOMA NEUROSCIENCES
PO BOX 1405
ADA, OK 74821
Phone number: 580-272-0018