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Individual

MICHAEL OPOKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3962
(405) 752-3963
Mailing address
530 N MONTE VISTA ST, SUITE A, ADA, OK 74820-4675
(580) 436-7101
(580) 436-4447

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016016015
MO
207R00000X
Internal Medicine Physician
Primary
24138
OK
208M00000X
Hospitalist Physician
2016016015
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16876235001
BCBS
OK
05
200038950A
OK
Enumeration date
04/27/2006
Last updated
09/20/2017
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