Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Active
Other names
Sooner Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MADDY (CEO)
(405) 271-1515
Entity
Organization
Contact information
Practice address
1200 CHILDREN'S AVE, SUITE 6100, OKLAHOMA CITY, OK 73104-4600
(405) 271-6827
(405) 271-2573
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
OK
Other
Enumeration date
02/09/2010
Last updated
09/06/2012
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