Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Active
Other names
Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P ZUBIALDE MD (EXECUTIVE DEAN)
(405) 271-1515
Entity
Organization
Contact information
Practice address
940 STANTON L YOUNG BLVD, ROOM 415, OKLAHOMA CITY, OK 73104-5020
(405) 271-2422
Mailing address
PO BOX 269025, OKLAHOMA CITY, OK 73126-9025
(405) 271-1500
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100758710A
—
OK
Enumeration date
01/16/2008
Last updated
01/06/2020
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