Organization
OKLAHOMA CITY EAR, NOSE & THROAT CLINIC, PC
Active
Other names
Oklahoma City Ear, Nose & Throat Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BRENT SCOTT DO (PRESIDENT)
(405) 272-6027
Entity
Organization
Contact information
Practice address
535 NW 9TH STREET, SUITE 300, OKLAHOMA CITY, OK 73102
(405) 272-6027
(405) 272-8311
Mailing address
535 NW 9TH STREET, SUITE 300, OKLAHOMA CITY, OK 73102
(405) 272-6027
(405) 272-8311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4165
OK
207Y00000X
Otolaryngology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200028810A
—
OK
05
—
200032190A
—
OK
Enumeration date
07/27/2006
Last updated
08/29/2012
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