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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C.

Active Organization

OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C. is a Adolescent Medicine (Pediatrics) organization located in OWASSO, Oklahoma. NPI 1982624292 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · OWASSO, OK

Registration Details

NPI Number
1982624292
Provider Type
Organization
NPI Issued
Jul 20, 2006 (20.097928400139 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
12455 E 100TH ST N
SUITE 280
OWASSO, OK, 740554600
Browse OK providers · Browse ZIP 74055
Phone
9182749700
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.