Organization
SOUTHERN OKLAHOMA EAR NOSE THROAT AND ALLGERY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALLEN DEMPEWOLF M.D. (OWNER)
(580) 226-8646
Entity
Organization
Contact information
Practice address
2002 12TH AVE NW, SUITE D, ARDMORE, OK 73401-1206
(580) 226-8646
(580) 226-8641
Mailing address
2002 12TH AVE NW, SUITE D, ARDMORE, OK 73401-1206
(580) 226-8646
(580) 226-8641
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
20353
OK
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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