| Paradigm Hormones -edmond | |
|
1301 S I 35 Service Rd Ste 106 Moore OK 73160-3182 | |
| (405) 703-3614 | |
| (405) 703-7021 |
| Full Name | Paradigm Hormones -edmond |
|---|---|
| Speciality | Clinic/center |
| Location | 1301 S I 35 Service Rd, Moore, Oklahoma |
| Authorized Official Name and Position | Nikki Busellato (INS.CREDENTIALING) |
| Authorized Official Contact | 4057033614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Hormones -edmond 13100 N Western Ave Oklahoma City OK 73114-1430 Ph: () - | Paradigm Hormones -edmond 1301 S I 35 Service Rd Ste 106 Moore OK 73160-3182 Ph: (405) 703-3614 |
| NPI Number | 1639604101 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 04/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639604101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Oklahoma) | Primary |
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