Organization
MEDICAL NEUROLOGISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MIKE BANOWETZ MD (PRESIDENT)
(405) 302-2661
Entity
Organization
Contact information
Practice address
4120 W MEMORIAL RD, STE 218, OKLAHOMA CITY, OK 73120
(405) 302-2661
(405) 302-2670
Mailing address
4120 W MEMORIAL RD, STE 218, OKLAHOMA CITY, OK 73120
(405) 302-2661
(405) 302-2670
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
01/21/2008
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