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Organization
ENID UROLOGY ASSOCIATES, INC.
Active
Organization
ENID UROLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY L WORTHEN II M.D. (PRESIDENT)
(580) 233-3230
Entity
Organization
Contact information
Practice address
615 E OKLAHOMA AVE, SUITE 202, ENID, OK 73701-5952
(580) 233-3230
(580) 233-0698
Mailing address
615 E OKLAHOMA AVE, SUITE 202, ENID, OK 73701-5952
(580) 233-3230
(580) 233-0698
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
24087
OK
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729700A
—
OK
01
—
C09031
RR MEDICARE #
OK
Enumeration date
09/25/2006
Last updated
11/14/2025
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