Great Plains Pediatrics, Inc

NPI 1063631562 - Specialist - 174400000X

NPI Details
NPI 1063631562
Enumeration Date 04/24/2007
Last Updated 09/27/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWARD A EDWARD
Position PRESIDENT
Phone (580) 353-8942
Fax (580) 353-5008
Practice Location
3201 W GORE BLVD
SUITE 100
LAWTON OK, 73505-6378, US
Phone (580) 353-8942
Fax (580) 353-5008
Business Location
3201 W GORE BLVD
SUITE 100
LAWTON OK, 73505-6378, US
Phone (580) 353-8942
Fax (580) 353-5008
Toxanomy
Taxonomy Code 174400000X
License State Oklahoma
License Number 12378
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According to our database, Great Plains Pediatrics, Inc NPI is 1063631562, taxonomy code is 174400000X and license number is 12378, license state is located at Oklahoma. Great Plains Pediatrics, Inc physically located at 3201 W Gore Blvd, Lawton OK, 73505-6378. NPI Number 1033115704 has the healthcare provider type.

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1063631562 NPI number is provided on an as is basis without warranty of any kind. 1063631562 is maintained by the National Plan & Provider Enumeration System. The contents of Great Plains Pediatrics, Inc are for informational purposes only.