Ricardo Bernard Madison, B.A.
NPI #1104106624 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1104106624
- Entity Type
- Individual
- Name
- Ricardo Bernard Madison, B.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Credential
- B.A.
- Enumeration Date
- Aug 29, 2011
- Last Updated
- Aug 29, 2011
Practice Location
- Address
- 1109 NE 59TH ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73111-7401
- Phone
- (405) 823-3737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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