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Organization

NORMAN NEPHROLOGY, P.L.L.C.

Active
Other names
Sooner Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OSWALD LLANDEROSOS M.D. (MEMBER)
(405) 329-3830
Entity
Organization

Contact information

Practice address
1561 N PORTER AVE, NORMAN, OK 73071-6621
(405) 329-3830
(405) 329-3791
Mailing address
1561 N PORTER AVE, NORMAN, OK 73071-6621
(405) 329-3830
(405) 329-3791

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200006110A
OK
Enumeration date
05/10/2007
Last updated
02/05/2010
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