Organization · Type 2 NPI
Miraworx of Okc 1 LLC
Addiction Medicine (Family Medicine) Physician · Oklahoma City, OK
NPI number
1053641803
Active
Practice location
10400 Vineyard Blvd Apt A
Oklahoma City, OK 73120-3830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
Other addiction medicine (family medicine) physician providers in Oklahoma City
About NPI 1053641803
Miraworx of Okc 1 LLC's National Provider Identifier is 1053641803, issued on Dec 29, 2009. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 29, 2009.