Organization
ALLERGY ARTS OF OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GREGORY LIPE M.D. (PHYSICIAN)
(405) 760-7721
Entity
Organization
Contact information
Practice address
3300 NW 56TH ST STE 100, OKLAHOMA CITY, OK 73112-4538
(405) 760-7721
(405) 212-4885
Mailing address
3300 NW 56TH ST STE 100, OKLAHOMA CITY, OK 73112-4538
(405) 760-7721
(405) 212-4885
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
207K00
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101520A
—
OK
Enumeration date
10/04/2012
Last updated
10/04/2012
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