Organization
UROLOGY AFFILIATES OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON C AXTON MD (MBR)
(405) 942-8545
Entity
Organization
Contact information
Practice address
5300 N GRAND BLVD STE 200, OKLAHOMA CITY, OK 73112-5517
(405) 942-8545
Mailing address
5300 N GRAND BLVD STE 200, OKLAHOMA CITY, OK 73112-5517
(405) 942-8545
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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