Individual
VINCENT DAVID VENINCASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 S BRYANT AVE STE 100, EDMOND, OK 73034-5803
(405) 341-4238
(405) 340-0269
Mailing address
920 S BRYANT AVE STE 100, EDMOND, OK 73034-5803
(405) 341-4238
(405) 340-0269
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31403
OK
Other
Enumeration date
05/13/2015
Last updated
07/10/2019
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