Individual
KOICHI NOMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(412) 937-5710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
003454
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
003454
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
43864
OK
207RC0000X
Cardiovascular Disease Physician
003454
NY
Other
Enumeration date
06/17/2008
Last updated
02/05/2025
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