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Organization
INFECTIOUS DISEASE
Active
Organization
INFECTIOUS DISEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG L TERRELL (SR VP, COO)
(405) 307-1000
Entity
Organization
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 321-8899
(405) 321-4433
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 321-8899
(405) 321-4433
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
Primary
24985
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200082150A
—
OK
Enumeration date
05/05/2006
Last updated
07/23/2012
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