# UROLOGY AFFILIATES OF OKLAHOMA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1306383849
- **Authorized official:** DR. JON C AXTON MD (MBR)
- **Authorized official phone:** (405) 942-8545

## Contact information

- **Practice address:** 5300 N GRAND BLVD STE 200, OKLAHOMA CITY, OK 73112-5517
- **Practice address phone:** (405) 942-8545
- **Mailing address:** 5300 N GRAND BLVD STE 200, OKLAHOMA CITY, OK 73112-5517
- **Mailing address phone:** (405) 942-8545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2017
- **Last updated:** 01/23/2017