Drs. Odom Coburn And Richardson

NPI 1083787535 - Optometrist - 152W00000X

NPI Details
NPI 1083787535
Enumeration Date 11/15/2006
Last Updated 05/26/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RAY RAY
Position O.D.
Phone (918) 682-7752
Fax (918) 687-8440
Practice Location
742 N YORK ST
MUSKOGEE OK, 74403-3866, US
Phone (918) 682-7752
Fax (918) 687-8440
Business Location
742 N YORK ST
MUSKOGEE OK, 74403-3866, US
Phone (918) 682-7752
Fax (918) 687-8440
Toxanomy
Taxonomy Code 152W00000X
License State Oklahoma
License Number 823
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According to our database, Drs. Odom Coburn And Richardson NPI is 1083787535, taxonomy code is 152W00000X and license number is 823, license state is located at Oklahoma. Drs. Odom Coburn And Richardson physically located at 742 N York St, Muskogee OK, 74403-3866. NPI Number 1033115704 has the healthcare provider type.

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1083787535 NPI number is provided on an as is basis without warranty of any kind. 1083787535 is maintained by the National Plan & Provider Enumeration System. The contents of Drs. Odom Coburn And Richardson are for informational purposes only.