Southeastern Medical Services LLC

NPI #1619277688 in Norman, Oklahoma

Provider Information

NPI Number: 1619277688
Entity Type: Organization
Organization Name: Southeastern Medical Services LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Oct 25, 2010
Last Updated: Oct 25, 2010

Practice Location

Address: 1225 W MAIN ST
Address 2: STE 205
City: Norman
State: Oklahoma
ZIP Code: 73069-6824
Phone: (405) 292-5500

Authorized Official

Name: STEPHEN RIDDEL, M.D.
Title: MANAGING PARTNER
Phone: (405) 292-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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