Organization Name: | OKLAHOMA DEPARTMENT OF HEALTH |
NPI Number: | 1023226750 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHERINE ADCOCK CHOATE (NURSE PRACTITIONER) |
Mailing Address: | 823 Greystone St Stillwater |
State: | OK US |
Postal Code: | 740741204 |
Phone Number: | 4057420236 |
Fax Number: | 4057420236 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | R0018207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |