Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 33209 | OK |
NPI | 1215981881 |
---|---|
Provider Name | Dr. Martin Alswang |
First Address | Oklahoma City, OK 73112-5555 |
Second Address | Oklahoma City, OK 73112-4418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 30/05/2019 |