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NPI Code Detail

MEDICARE: MR. JAN K VODA MD

MEDICARE:  MR. JAN K VODA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician14534OK

General Provider Information

NPI Number : 1285615351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAN K VODA MD
Provider Business Mailing Address
First Line : 608 NW 9TH ST
Second Line : STE 6200
City : OKLAHOMA CITY
State : OK
Zip : 73102-1049
Country : US
Telephone Number : 405-272-8424
Fax Number : 405-231-8818
Provider Business Practice Location Address
First Line : 608 NW 9TH ST
Second Line : STE 6200
City : OKLAHOMA CITY
State : OK
Zip : 73102-1049
Country : US
Telephone Number : 405-272-8424
Fax Number : 405-231-8818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 07/08/2007

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Directions to “ MR. JAN K VODA MD” Practice Location

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