Organization
NNA OF OKLAHOMA, L.L.C.
Active
Other names
RCG OKLAHOMA CITY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
5401 N PORTLAND AVE STE 280, OKLAHOMA CITY, OK 73112-2082
(405) 951-4173
Mailing address
5401 N PORTLAND AVE STE 280, OKLAHOMA CITY, OK 73112-2082
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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