Provider First Line Business Practice Location Address:
OKLAHOMA CITY VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
921 NE 13TH ST
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:
405-456-2054
Provider Business Practice Location Address Fax Number:
405-456-2051
Provider Enumeration Date:
03/31/2025