Ivan Wayne
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
13904 Quailbrook Dr
Oklahoma City
, Oklahoma 73134-1718
Ivan Wayne
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
13904 Quailbrook Dr
Oklahoma City
, Oklahoma 73134-1718
(405) 607-3559
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Ivan Wayne
- 3033 Nw 63rd St Suite 152
- Oklahoma City, OK
- Zip : 73116-3634
- Fax : (405) 607-3559
- Phone : (405) 755-6651
Second Address
- Ivan Wayne
- 13904 Quailbrook Dr
- Oklahoma City, OK
- Zip : 73134-1718
- Fax : (405) 607-3580
- Phone : (405) 748-5990
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 22995 | OK |
| Y | 207YS0123X | Facial Plastic Surgeon | 22995 | OK |
National Provider Identifier
| NPI | 1134198260 |
|---|---|
| Provider Name | Ivan Wayne |
| First Address | Oklahoma City, OK 73116-3634 |
| Second Address | Oklahoma City, OK 73134-1718 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 10/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.