| Spardoin Llc | |
|
3280 Marshall Ave Norman OK 73072-8022 | |
| (405) 579-5858 | |
| (405) 292-1787 |
| Full Name | Spardoin Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3280 Marshall Ave, Norman, Oklahoma |
| Authorized Official Name and Position | Stanley Paul Ardoin (OWNER) |
| Authorized Official Contact | 4058088211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spardoin Llc 3280 Marshall Ave Norman OK 73072-8022 Ph: (405) 579-5858 | Spardoin Llc 3280 Marshall Ave Norman OK 73072-8022 Ph: (405) 579-5858 |
| NPI Number | 1952681728 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 05/01/2015 |
| Medicare PECOS PAC ID | 5698094365 |
|---|---|
| Medicare Enrollment ID | O20150430000808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952681728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 17730 (Oklahoma) | Primary |
| Provider Name | Stanley P Ardoin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649366998 PECOS PAC ID: 7214977883 Enrollment ID: I20050627000064 |
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