Organization
EVIDENT HEALTH SERVICES. LLC
Active
Parent organization
MADRUGADA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADRUGADA, INC.
Authorized official
DR. CHARLES A. BRYANT IV MD (PRESIDENT)
(405) 713-4990
Entity
Organization
Contact information
Practice address
3366 NW EXPRESSWAY, STE. 520, OKLAHOMA CITY, OK 73112-4444
(405) 713-4990
Mailing address
3366 NW EXPRESSWAY, STE. 520, OKLAHOMA CITY, OK 73112-4444
(405) 713-4990
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20972
OK
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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