Board Of Regents Of The University Of Oklahoma - Ou Mary Mahoney
Clinic/Center in Oklahoma City, OK. Organization (NPI-2).
NPI number1568680296
StatusActive
Last updated in NPPESSep 28, 2009
Details
- NPI
- 1568680296
- Entity type
- Organization (NPI-2)
- Legal business name
- Board Of Regents Of The University Of Oklahoma - Ou Mary Mahoney
- Organization subpart
- No
- Enumeration date
- Apr 20, 2007
- Last updated
- Sep 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Ou Physicians Mary Mahoney (Other Name)
Practice location
12716 Ne 36th StreetOklahoma City, OK 73140
Phone 405-769-3301
Mailing address
1122 Ne 13th StOri 236
Oklahoma City, OK 73117-1039
Authorized official
Brian Maddy
Chief Executive Officer
4052711515
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