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Contact Information

LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY
301 E WATERLOO RD
EDMOND, OK73034
 Phone: 405-715-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY · (Female)

NPI # 1154534162
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2007
Last updated 11/15/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 2267
  • Other CD8588 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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