| NPI | 1609515139 |
|---|---|
| Doing Business As | PEDIATRIC HEALTH CLINIC OF EDMOND |
| Entity Type | Organization |
| Authorized Contact | SUHA TAWFIK RAMADAN President/Md 312-515-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |