# OKLAHOMA SLEEP INSTITUTE CLINIC - SHAWNEE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093077968
- **Authorized official:** MIKE GOLD (CEO)
- **Authorized official phone:** (405) 606-2727

## Contact information

- **Practice address:** 14000 N PORTLAND AVE, SUITE 201, OKLAHOMA CITY, OK 73134-4003
- **Practice address phone:** (405) 606-2727
- **Practice address fax:** (405) 606-7040
- **Mailing address:** 14000 N PORTLAND AVE, SUITE 201, OKLAHOMA CITY, OK 73134-4003
- **Mailing address phone:** (405) 606-2727
- **Mailing address fax:** (405) 606-7040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012