Organization
REVELATION MEDICAL OF OKLAHOMA CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WARREN LINN (AUTHORIZED OFFICIAL)
(405) 698-1020
Entity
Organization
Contact information
Practice address
6001 NW 139TH ST, OKLAHOMA CITY, OK 73142-1919
(405) 698-1020
Mailing address
6001 NW 139TH ST, OKLAHOMA CITY, OK 73142-1919
(405) 698-1020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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