Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 21042 | OK |
NPI | 1124085139 |
---|---|
Provider Name | Dr. Philip A Floyd |
First Address | Oklahoma City, OK 73116-4836 |
Second Address | Oklahoma City, OK 73116-4836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 10/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100259640A | (05) | OK |
G92055 | (02) | OK |