Organization
DIGESTIVE DISEASE SPECIALISTS INC
Active
Organization
DIGESTIVE DISEASE SPECIALISTS INC
Active
Other names
Institute of Digestive Disease Specialists, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA J MOCK (DIRECTOR OF BUSINESS SERVICES)
(405) 767-6630
Entity
Organization
Contact information
Practice address
3366 NW EXPRESSWAY, SUITE 400, OKLAHOMA CITY, OK 73112-4462
(405) 702-1300
(405) 702-1280
Mailing address
3366 NW EXPRESSWAY STE 400, OKLAHOMA CITY, OK 73112-4416
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
02/09/2021
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