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Organization

HOUSECALLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VAN NGO ARNP (ARNP)
(405) 601-9191
Entity
Organization

Contact information

Practice address
4413 S LEE AVE, OKLAHOMA CITY, OK 73109
(405) 245-1416
(405) 265-5230
Mailing address
4413 S LEE AVE, OKLAHOMA CITY, OK 73109-3527
(405) 245-1416
(405) 265-5230

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
06/11/2018
Last updated
08/20/2018
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