Organization
PULMONOLOGY ASSOCIATES OF ENID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M BROWN (VP PHYSICIAN REGIONAL PRACT MGMT)
(580) 548-1367
Entity
Organization
Contact information
Practice address
401 E OKLAHOMA AVE, SUITE A, ENID, OK 73701-5800
(580) 234-5155
(580) 234-5511
Mailing address
DEPT 960333, OKLAHOMA CITY, OK 73196-0333
(580) 548-1367
(580) 548-1583
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200200250A
—
OK
Enumeration date
02/19/2008
Last updated
03/16/2011
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