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Organization

SOONER PSYCHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AHMED REFAT ABDELAZIZ MD (PRESIDENT)
(405) 926-0444
Entity
Organization

Contact information

Practice address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 896-6777
(405) 896-6725
Mailing address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 896-6777
(405) 896-6725

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26276
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200560830A
OK
Enumeration date
08/14/2012
Last updated
01/17/2018
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