Organization
OKLAHOMA INDUSTRIAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE MOFFITT (MANAGER)
(479) 725-3055
Entity
Organization
Contact information
Practice address
4330 SE 29TH ST STE 3018, DEL CITY, OK 73115-3335
(405) 670-8100
Mailing address
PO BOX 1065, LOWELL, AR 72745-1065
(479) 725-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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