Organization
AMIE E PROUGH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIE E PROUGH MD (PHYSICIAN)
(405) 844-4300
Entity
Organization
Contact information
Practice address
1700 RENAISSANCE BLVD, EDMOND, OK 73013-3022
(405) 844-4300
(405) 844-4333
Mailing address
1700 RENAISSANCE BLVD, EDMOND, OK 73013-3022
(405) 844-4300
(405) 844-4333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24011
OK
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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