NPI Provider: 1619923281
Contact Name: Khalili Fazel Mohammad
Position: Owner
Phone: (405) 340-4565
Internal Medicine & Nephrology Associates, Pc Information:
Internal Medicine & Nephrology Associates, Pc organization have npi 1619923281, taxonomy code is 207R00000X with license number is 23879 in . This Business address located in 105 S Bryant Ave, Edmond, OK 73034 Oklahoma.
Practice Location
Address: 105 S Bryant Ave, Edmond, OK 73034
Phone: (405) 340-4565
Business Location
Address: 105 S Bryant Ave, Edmond, OK 73034
Phone: (405) 340-4565
Fax: (405) 340-4583
Taxonomy
Taxonomy Code: 207R00000X
License Number: 23879
License Number of State: OK
Primary Taxonomy Switch: Y
Enumeration Date: 5/25/2006
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