Organization · Type 2 NPI
Southside Urology Clinic, P.c.
Specialist · Oklahoma City, OK
NPI number
1629247341
Active
Practice location
9817 S Western Ave
Oklahoma City, OK 73139-2812
Fax (405) 632-7500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 3478 (OK) |
| Medical Specialty Clinic/Center | 261QM2500X | 3478 (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1629247341
Southside Urology Clinic, P.c.'s National Provider Identifier is 1629247341, issued on Feb 27, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 25, 2016.