Individual
YNAL HABJ-BIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1152 US HIGHWAY 70A, WILSON, WILSON, OK 73463-1482
(580) 668-2882
(580) 668-2772
Mailing address
4401 W MEMORIAL RD, OKLAHOMA CITY, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20914
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20914
OK LICENSE
OK
01
—
458688397002
BCBS 12 DIGIT #
OK
Enumeration date
05/16/2006
Last updated
05/20/2014
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