Organization
NORMAN PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA S JACKSON M.D. (PRESIDENT)
(405) 321-5114
Entity
Organization
Contact information
Practice address
808 WALL ST, NORMAN, OK 73069-6302
(405) 321-5114
(405) 321-6482
Mailing address
808 WALL ST, NORMAN, OK 73069-6302
(405) 321-5114
(405) 321-6482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18110
OK
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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