Advanced Ear Nose & Throat, P.c.

NPI #1245380005 in Midwest City, Oklahoma

Provider Information

NPI Number: 1245380005
Entity Type: Organization
Organization Name: Advanced Ear Nose & Throat, P.c.
Primary Specialty: Otolaryngology
Enumeration Date: Jan 11, 2007
Last Updated: Apr 27, 2010

Practice Location

Address: 1201 S DOUGLAS BLVD
Address 2: SUITE L
City: Midwest City
State: Oklahoma
ZIP Code: 73130-5239
Phone: (314) 239-3527

Authorized Official

Name: DR. RONALD JEFFREY GOODELL, D.O.
Title: PRESIDENT
Phone: (314) 239-3527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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