Avant Diabettes Management Llc | |
2225 Sw 59th St Oklahoma City OK 73119-7026 | |
(800) 420-1481 | |
(800) 361-4480 |
Full Name | Avant Diabettes Management Llc |
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Speciality | Clinic/center |
Location | 2225 Sw 59th St, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Williams J Dragoo (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8004201481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avant Diabettes Management Llc 2225 Sw 59th St Oklahoma City OK 73119-7026 Ph: (800) 420-1481 | Avant Diabettes Management Llc 2225 Sw 59th St Oklahoma City OK 73119-7026 Ph: (800) 420-1481 |
NPI Number | 1487057345 |
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Provider Enumeration Date | 10/06/2014 |
Last Update Date | 10/06/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487057345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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