Provider First Line Business Practice Location Address:
OU PHYSICIANS
Provider Second Line Business Practice Location Address:
825 N.E. 10TH STREET, OUPB 3300
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-271-9494
Provider Business Practice Location Address Fax Number:
405-271-3727
Provider Enumeration Date:
12/19/2007