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Organization

HEALTHY OPTIONS FOR PREVENTION AND EFFECTIVE TREATMENT OKLAHOMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANESE PARKS (PRINCIPAL MEMBER)
(405) 431-0232
Entity
Organization

Contact information

Practice address
5350 S WESTERN AVE, 305, OKLAHOMA CITY, OK 73109-4520
(405) 632-2949
(877) 245-1779
Mailing address
5350 S WESTERN AVE, 305, OKLAHOMA CITY, OK 73109-4520
(405) 632-2949
(877) 245-1779

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2084P0800X
Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200235120A
OK
Enumeration date
02/26/2009
Last updated
02/02/2011
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