Organization
BROOKE NIDA, MD, PC
Active
Organization
BROOKE NIDA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE ALLISON NIDA MD (OWNER)
40588444311
Entity
Organization
Contact information
Practice address
1700 S RENAISSANCE BLVD, EDMOND, OK 73013
(405) 844-4300
(405) 844-4333
Mailing address
1700 S RENAISSANCE BLVD, EDMOND, OK 73013
(405) 844-4300
(405) 844-4333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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