Southeastern Oklahoma Neurosciences

NPI #1609048545 in Ada, Oklahoma

Provider Information

NPI Number
1609048545
Entity Type
Organization
Organization Name
Southeastern Oklahoma Neurosciences
Primary Specialty
Neurological Surgery
Enumeration Date
Apr 1, 2008
Last Updated
Sep 12, 2008

Practice Location

Address
520 N MONTE VISTA ST
Address 2
STE C
City
Ada
ZIP Code
74820-4674
Phone
(580) 272-0018

Authorized Official

Name
KIMBALL N PRATT, MD
Title
PHYSICIAN
Phone
(580) 272-0018

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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