Ivan Wayne MD

NPI 1134198260 - Otolaryngology - 207Y00000X

NPI Details
NPI 1134198260
Gender Male
Enumeration Date 03/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
825 NE 10TH ST
OUPB4200
OKLAHOMA CITY OK, 73104-5417, US
Phone (405) 271-5950
Fax
Business Location
1122 NE 13TH ST
ORI236
OKLAHOMA CITY OK, 73117-1039, US
Phone (405) 271-1515
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State Oklahoma
License Number 22995
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According to our database, Ivan Wayne MD NPI is 1134198260, taxonomy code is 207Y00000X and license number is 22995, license state is located at Oklahoma. Ivan Wayne MD physically located at 825 Ne 10th St, Oklahoma City OK, 73104-5417. NPI Number Ivan Wayne MD has the Individual type.

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1134198260 NPI number is provided on an as is basis without warranty of any kind. 1134198260 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Wayne MD are for informational purposes only.