Organization
ENT ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J GOODELL D.O. (PARTNER)
(405) 736-9300
Entity
Organization
Contact information
Practice address
1201 S DOUGLAS BLVD, STE L, MIDWEST CITY, OK 73130-5239
(405) 736-9300
(405) 736-9301
Mailing address
1201 S DOUGLAS BLVD, STE L, MIDWEST CITY, OK 73130-5239
(405) 736-9300
(405) 736-9301
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
4473
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200105030A
—
OK
Enumeration date
11/21/2010
Last updated
11/21/2010
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