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Individual

DR. ALBERT K HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
937 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-9231
(405) 631-2379
(405) 631-3377
Mailing address
937 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-9231
(405) 631-2379
(405) 631-3377

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01973
OK
2080A0000X
Pediatric Adolescent Medicine Physician
01973
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01973
STATE LISCENCE
OK
05
100060790A
OK
01
731126748-001
BCBS PROVIDER ID
OK
Enumeration date
10/24/2006
Last updated
09/05/2008
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