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NPI Code Detail

MEDICARE: MIDWEST ALLERGY CLINIC

MEDICARE: MIDWEST ALLERGY CLINIC
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
1174400000XSpecialist9185OK

General Provider Information

NPI Number : 1588838288
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST ALLERGY CLINIC
Provider Business Mailing Address
First Line : 1228 SW 44TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3604
Country : US
Telephone Number : 405-631-7541
Fax Number :
Provider Business Practice Location Address
First Line : 1228 SW 44TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3604
Country : US
Telephone Number : 405-631-7541
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RONALD EUGENE WRIGHT
Credential : MD
Telephone Number : 405-631-7541
Provider Enumeration Date : 04/15/2008
Last Update Date : 04/20/2008

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Directions to “MIDWEST ALLERGY CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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