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Organization
PEDIATRIC MULTISPECIALTY GROUP PLLC
Active
Organization
PEDIATRIC MULTISPECIALTY GROUP PLLC
Active
Other names
Pediatric Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HARRIS (COO)
(800) 506-8933
Entity
Organization
Contact information
Practice address
3330 NW 56TH ST STE 206, OKLAHOMA CITY, OK 73112-4426
(800) 506-8933
(855) 863-6522
Mailing address
9235 N UNION BLVD STE 150334, COLORADO SPRINGS, CO 80920-7831
(800) 506-8933
(855) 863-6522
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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