Organization
NAZIR BALOUCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZIR BALOUCH M.D. (OWNER)
(405) 307-1000
Entity
Organization
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1000
Mailing address
401 W MAIN ST., SUITE 400, NORMAN, OK 73069-1319
(405) 364-3040
(405) 307-0883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26219
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200219350A
—
OK
Enumeration date
09/17/2009
Last updated
09/17/2009
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