Organization
VIZOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RICHARDS (DIRECTOR OF ACCOUNT MANAGEMENT)
(561) 413-9860
Entity
Organization
Contact information
Practice address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 253-2020
(405) 598-8227
Mailing address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 253-2020
(405) 598-8227
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
12457565
OK
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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