Sozo Physical Medicine LLC
Nurse Practitioner in Oklahoma City, OK. Organization (NPI-2).
NPI number1982139937
StatusActive
Last updated in NPPESApr 27, 2017
Details
- NPI
- 1982139937
- Entity type
- Organization (NPI-2)
- Legal business name
- Sozo Physical Medicine LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2017
- Last updated
- Apr 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R0074731 | OK | Yes |
| 111N00000X | Chiropractor | 4123 | OK |
Other names
- Sozo Physical Medicine (Doing Business As)
Practice location
2000 N Classen BlvdSuite S. 100
Oklahoma City, OK 73106-6016
Phone 405-601-7033 · Fax 405-602-1939
Mailing address
2000 N Classen BlvdSuite S. 100
Oklahoma City, OK 73106-6016
Phone 405-601-7033 · Fax 405-602-1939
Authorized official
Whitney Autumn Williams
Owner
4054488385
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