Individual
KOFI BESEBRO VANDYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 NE 13TH ST, SUITE #200, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
(405) 271-8695
Mailing address
750 NE 13TH ST, ANESTHESIOLOGY SUITE #200, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29999
OK
Other
Enumeration date
06/08/2007
Last updated
08/05/2013
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