Neurohealth

NPI 1023131745 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1023131745
Enumeration Date 04/09/2007
Last Updated 08/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOUG DOUG
Position CREDENTIALING SPEC
Phone (580) 248-1004
Fax (580) 248-1008
Practice Location
2701 SW A AVE
LAWTON OK, 73505-7123, US
Phone (580) 248-1004
Fax (580) 248-1008
Business Location
PO BOX 6570
LAWTON OK, 73506-0570, US
Phone (580) 248-1004
Fax (580) 248-1108
Toxanomy
Taxonomy Code 2084N0400X
License State
License Number
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According to our database, Neurohealth NPI is 1023131745, taxonomy code is 2084N0400X Neurohealth physically located at 2701 Sw A Ave, Lawton OK, 73505-7123. NPI Number 1033115704 has the healthcare provider type.

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1023131745 NPI number is provided on an as is basis without warranty of any kind. 1023131745 is maintained by the National Plan & Provider Enumeration System. The contents of Neurohealth are for informational purposes only.