Organization
SOUTHERN OKLAHOMA PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAWFIK Z RAMADAN M.D. (PEDIATRICIAN)
(580) 436-2283
Entity
Organization
Contact information
Practice address
1214 ARLINGTON ST, ADA, OK 74820-4045
(580) 436-2283
(580) 436-2291
Mailing address
1214 ARLINGTON ST, ADA, OK 74820-4045
(580) 436-2283
(580) 436-2291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11462
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108060 A
—
OK
05
—
100734530 A
—
OK
Enumeration date
04/03/2007
Last updated
01/07/2010
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