Hefner West Medical Clinic, P.c.
NPI #1003858416 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1003858416
- Entity Type
- Organization
- Organization Name
- Hefner West Medical Clinic, P.c.
- Primary Specialty
- Legal Medicine
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 4400 NW 63RD ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73116-1545
- Phone
- (405) 942-0090
Authorized Official
- Name
- LABID SAM MUSALLAM, M.D.
- Title
- PHYSICIAN
- Phone
- (405) 942-0090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Legal Medicine |
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