Oklahoma Allergy & Asthma Clinic
NPI #1861599094 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1861599094
- Entity Type
- Organization
- Organization Name
- Oklahoma Allergy & Asthma Clinic
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 750 NE 13TH ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73104-5051
- Phone
- (405) 235-0040
Authorized Official
- Name
- MR. DIANE LYNN KOUGH
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (405) 235-0040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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