Id Consultants Pllc
NPI #1932507605 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1932507605
- Entity Type
- Organization
- Organization Name
- Id Consultants Pllc
- Primary Specialty
- Internal Medicine - Infectious Disease
- Enumeration Date
- Dec 12, 2014
- Last Updated
- Feb 12, 2015
Practice Location
- Address
- 8609 WILLOW SPRINGS CT
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-8250
- Phone
- (918) 361-2825
Authorized Official
- Name
- SHAUN WHITE
- Title
- MANAGER
- Phone
- (502) 212-9393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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