Organization
INOVEON CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G. CARL GIBSON CPA (CHIEF OPERATING OFFICER)
(405) 271-9025
Entity
Organization
Contact information
Practice address
800 RESEARCH PARKWAY,, SUITE 370,, OKLAHOMA CITY, OK 73104-3611
(405) 271-9025
(405) 271-9026
Mailing address
800 RESEARCH PARKWAY,, SUITE 370,, OKLAHOMA CITY, OK 73104-3611
(405) 271-9025
(405) 271-9026
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177946
BLUECROSS BLUESHIELD
MO
05
—
200043570A
—
OK
Enumeration date
07/05/2005
Last updated
09/20/2012
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