Organization
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS
Active
Organization
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS
Active
Other names
Pediatric Factor Program
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MADDY (CEO)
(405) 271-1515
Entity
Organization
Contact information
Practice address
1200 CHILDREN'S AVE, SUITE 14500, OKLAHOMA CITY, OK 73104-4600
(405) 271-3661
(405) 271-4301
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
09/06/2012
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