Paradigm Hormones -Edmond

NPI #1639604101 in Moore, Oklahoma

Provider Information

NPI Number
1639604101
Entity Type
Organization
Organization Name
Paradigm Hormones -Edmond
Primary Specialty
Clinic/Center
Enumeration Date
Apr 21, 2017
Last Updated
Apr 21, 2017

Practice Location

Address
1301 S I 35 SERVICE RD
Address 2
STE 106
City
Moore
ZIP Code
73160-3182
Phone
(405) 703-3614

Authorized Official

Name
NIKKI BUSELLATO
Title
INS.CREDENTIALING
Phone
(405) 703-3614

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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