Organization
OCTOBER TUESDAY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA RENEE KNOWLTON DO (OWNER)
(405) 775-9350
Entity
Organization
Contact information
Practice address
4131 NW 122ND ST, OKLAHOMA CITY, OK 73120-8869
(405) 775-9350
(405) 775-9360
Mailing address
4131 NW 122ND ST, OKLAHOMA CITY, OK 73120-8869
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4422
OK
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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