Organization
OTOLOGIC MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE VOTH (BUSINESS MANAGER)
(405) 946-5563
Entity
Organization
Contact information
Practice address
3400 NW 56TH ST, OKLAHOMA CITY, OK 73112-4463
(405) 946-5563
(405) 947-6226
Mailing address
3400 NW 56TH ST, OKLAHOMA CITY, OK 73112-4463
(405) 946-5563
(405) 947-6226
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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