Organization
SOZO PHYSICAL MEDICINE LLC
Active
Other names
SOZO PHYSICAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY AUTUMN WILLIAMS (OWNER)
(405) 448-8385
Entity
Organization
Contact information
Practice address
2000 N CLASSEN BLVD, SUITE S. 100, OKLAHOMA CITY, OK 73106-6016
(405) 601-7033
(405) 602-1939
Mailing address
2000 N CLASSEN BLVD, SUITE S. 100, OKLAHOMA CITY, OK 73106-6016
(405) 601-7033
(405) 602-1939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4123
OK
363L00000X
Nurse Practitioner
Primary
R0074731
OK
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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