Organization
MS CENTER OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E. NEWMAN (CHIEF FINANCIAL OFFICER)
(405) 752-3724
Entity
Organization
Contact information
Practice address
4120 W MEMORIAL RD, SUITE #108, OKLAHOMA CITY, OK 73120-9322
(405) 936-5648
(405) 936-5661
Mailing address
4300 W MEMORIAL RD, ATTN: JAMES E. NEWMAN, OKLAHOMA CITY, OK 73120-8304
(405) 752-3724
(405) 752-3811
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC9377
RAILROAD MEDICARE
OK
Enumeration date
07/17/2006
Last updated
03/15/2008
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