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Organization

TELL-A-NEURODOC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIM NELSON (OFFICE MANAGER)
(405) 590-2940
Entity
Organization

Contact information

Practice address
1113 NW 197TH ST, EDMOND, OK 73012-3407
(405) 696-3773
(405) 424-3125
Mailing address
1113 NW 197TH ST, EDMOND, OK 73012-3407
(405) 696-3773
(405) 424-3125

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary

Other

Enumeration date
01/28/2019
Last updated
01/28/2019
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