ADA PEDIATRIC CLINIC
Organization (NPI-2)
Active
Pediatrics
Provider Information
- NPI Number
1255671806- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1414 ARLINGTON ST SUITE 1700, ADA, OK, 748202646
- Phone
- (580) 332-7337
- Fax
- (580) 332-3881
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
License: OK #0065815
Pediatrics
Primary License: OK #16267