Organization
INTEGRATED FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERIC SPROWL (BEHAVIOR SPECIALIST)
(405) 410-6391
Entity
Organization
Contact information
Practice address
112 W 10TH PL, EDMOND, OK 73003-5755
(405) 410-6391
Mailing address
112 W 10TH PL, EDMOND, OK 73003-5755
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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