Individual
IRA N TARGOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST, OUPB 2300, OKLAHOMA CITY, OK 73104-5417
(405) 271-8478
(405) 271-4230
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
13465
OK
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
13465
OK
207RR0500X
Rheumatology Physician
Primary
13465
OK
Other
Enumeration date
03/15/2006
Last updated
03/16/2011
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