Organization
MIDWESTERN PROFESSIONAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDYA REGE DRAVID M.D. (PRESIDENT)
(405) 262-9900
Entity
Organization
Contact information
Practice address
927 S COUNTRY CLUB RD, EL RENO, OK 73036-4907
(405) 262-9900
(405) 262-9949
Mailing address
927 S COUNTRY CLUB RD, EL RENO, OK 73036-4907
(405) 262-9900
(405) 262-9949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OK11132
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100733140A
—
OK
Enumeration date
07/27/2007
Last updated
04/26/2016
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