Individual
MAURICE UPSHAW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3035 NW 63RD ST STE 201N, OKLAHOMA CITY, OK 73116-3606
(405) 842-8801
Mailing address
4641 WOODLAND BLVD APT 217, OKLAHOMA CITY, OK 73105-6830
(405) 824-3358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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