Organization
CARDIOLOGY SERVICES OF ENID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF M BROWN (VP RURAL PHYSICIAN PRACT MGMT)
(580) 548-1367
Entity
Organization
Contact information
Practice address
707 S MONROE ST, ENID, OK 73701-7286
(580) 616-7630
(580) 237-7516
Mailing address
DEPT 960278, OKLAHOMA CITY, OK 73196-0278
(580) 548-1367
(580) 548-1583
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200106320A
—
OK
05
—
200608360A
—
KS
Enumeration date
07/12/2006
Last updated
02/25/2011
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