Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 28668 | OK |
NPI | 1033404892 |
---|---|
Provider Name | Jimmy Argo |
First Address | Oklahoma City, OK 73104-5036 |
Second Address | Oklahoma City, OK 73104-5036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2011 |
Last Update Date | 09/06/2011 |