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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