Southern Oklahoma Urology, INC
NPI #1528254109 in Ada, Oklahoma
Provider Information
- NPI Number
- 1528254109
- Entity Type
- Organization
- Organization Name
- Southern Oklahoma Urology, INC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Sep 18, 2007
- Last Updated
- Sep 18, 2007
Practice Location
Authorized Official
- Name
- DR. GLEN E DIACON JR., MD
- Title
- PRESIDENT
- Phone
- (580) 332-0112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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