Organization
OKLAHOMA SLEEP INSTITUTE CLINIC - MWC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C GOLD (PRESIDENT)
(405) 606-2727
Entity
Organization
Contact information
Practice address
8121 NATIONAL AVE, SUITE 208, MIDWEST CITY, OK 73110-7530
(405) 443-3594
(405) 606-7040
Mailing address
13900 WIRELESS WAY, OKLAHOMA CITY, OK 73134-2505
(405) 606-2727
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0058479
OK
363LG0600X
Gerontology Nurse Practitioner
R0058479
OK
Other
Enumeration date
10/04/2011
Last updated
03/21/2014
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