Allergy & Respiratory Clinic of Southern Ok LLC

NPI #1437433885 in Blanchard, Oklahoma

Provider Information

NPI Number: 1437433885
Entity Type: Organization
Organization Name: Allergy & Respiratory Clinic of Southern Ok LLC
Primary Specialty: Clinic/Center
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 821 E VETERANS MEMORIAL HWY
City: Blanchard
State: Oklahoma
ZIP Code: 73010-9215
Phone: (405) 485-9588

Authorized Official

Name: MR. SHAWN P BONILLA, ARNP
Title: OWNER
Phone: (405) 485-9588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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