Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GRUNOW MD (PEDIATRIC GASTROENTEROLOGY CHAIR)
(405) 271-5884
Entity
Organization
Contact information
Practice address
1200 N PHILLIPS AVE, SUITE 9500, OKLAHOMA CITY, OK 73104-4600
(405) 271-5884
(405) 271-7866
Mailing address
1200 N PHILLIPS AVE, SUITE 9500, OKLAHOMA CITY, OK 73104-4600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
81001
OK
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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