Organization
AL-BOTROS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADONIS SIMON AL-BOTROS M.D. (PHYSICIAN)
(405) 600-6730
Entity
Organization
Contact information
Practice address
1111 N LEE AVE STE 105, OKLAHOMA CITY, OK 73103-2620
(405) 600-6730
(405) 600-6750
Mailing address
1111 N LEE AVE STE 105, OKLAHOMA CITY, OK 73103-2620
(405) 600-6730
(405) 600-6750
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21751
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224280A
—
OK
Enumeration date
12/12/2006
Last updated
02/07/2012
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