Organization
OKLAHOMA SLEEP INSTITUTE CLINIC - SOUTH OKC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GOLD (CEO)
(405) 606-2727
Entity
Organization
Contact information
Practice address
8901 S SANTA FE AVE, SUITE L, OKLAHOMA CITY, OK 73139-8413
(405) 606-2727
(405) 606-7040
Mailing address
14000 N PORTLAND AVE, SUITE 201, OKLAHOMA CITY, OK 73134-4003
(405) 606-2727
(405) 606-7040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0058479
OK
Other
Enumeration date
12/28/2011
Last updated
03/05/2012
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