Individual
MR. JULIUS KOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 NW 105TH ST, OKLAHOMA CITY, OK 73114-5111
(405) 414-6802
Mailing address
1209 NW 105TH ST, OKLAHOMA CITY, OK 73114-5111
(405) 414-6802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P083506000
OK
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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