Organization
AA SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED AMAYEM MD (SOLE PROPRIETOR)
(405) 632-1783
Entity
Organization
Contact information
Practice address
1145 W I 240 SERVICE RD BLDG I, SUITE 100, OKLAHOMA CITY, OK 73139-2171
(405) 632-1783
(405) 631-0508
Mailing address
1145 W I 240 SERVICE RD BLDG I, SUITE 100, OKLAHOMA CITY, OK 73139-2171
(405) 632-1783
(405) 631-0508
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D1097115
OK
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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