Healthcare Provider Details

I. General information

NPI: 1881631455
Provider Name (Legal Business Name): ROBIN J ELWOOD MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 WILL ROGERS PKWY STE 105
OKLAHOMA CITY OK
73108-1837
US

IV. Provider business mailing address

PO BOX 271938
OKLAHOMA CITY OK
73137-1938
US

V. Phone/Fax

Practice location:
  • Phone: 405-947-8585
  • Fax: 405-948-6507
Mailing address:
  • Phone: 405-947-8585
  • Fax: 405-948-6507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBIN JAMES ELWOOD
Title or Position: CEO/PRESIDENT
Credential: M.D.
Phone: 405-947-5557