Individual
KYLE M SCOZZAFAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109
(405) 636-7000
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4389
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6754
OK
Other
Enumeration date
04/02/2018
Last updated
07/21/2025
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