IV Health Center

NPI #1962941427 in Ardmore, Oklahoma

Provider Information

NPI Number: 1962941427
Entity Type: Organization
Organization Name: IV Health Center
Primary Specialty: Clinic/Center
Enumeration Date: Feb 16, 2017
Last Updated: Feb 16, 2017

Practice Location

Address: 1107 WALNUT DR
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2354
Phone: (405) 703-3614

Authorized Official

Name: NIKKI BUSELLATO
Title: CREDENTIALING/CONTRACTING
Phone: (405) 703-3614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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