Organization
DIABETIC CARE OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM BREWER (OWNER)
(405) 401-8000
Entity
Organization
Contact information
Practice address
516 W CALIFORNIA AVE, OKLAHOMA CITY, OK 73102-2443
(405) 602-3000
Mailing address
516 W CALIFORNIA AVE, OKLAHOMA CITY, OK 73102-2443
(405) 602-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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