Ingram Co

NPI #1972851467 in Oklahoma City, Oklahoma

Provider Information

NPI Number
1972851467
Entity Type
Organization
Organization Name
Ingram Co
Primary Specialty
Family Medicine - Addiction Medicine
Enumeration Date
Aug 15, 2012
Last Updated
Sep 18, 2012

Practice Location

Address
6525 N MERIDIAN AVE
ZIP Code
73116-1420
Phone
(405) 719-3905

Authorized Official

Name
RICHARD ROSS
Title
CEO
Phone
(405) 719-3905

Specialties & Taxonomy Codes

Specialty
Family Medicine - Addiction MedicineAddiction Medicine

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