Miraworx of Okc 1 LLC
Miraworx of Okc 1 LLC is an Addiction Medicine (Family Medicine) Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2009.
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10400 Vineyard Blvd Apt AOklahoma City, OK 73120-3830
Phone: (405) 230-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X |
|---|
Record details
| NPI number | 1053641803 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carolyn Davies — Consultant · (918) 286-7347 |
| NPI enumerated | December 29, 2009 |
| Last updated in NPPES | December 29, 2009 |
| Mailing address | 10400 Vineyard Blvd Apt A, Oklahoma City, OK 73120-3830 |
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