Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 22488 | OK |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 46200 | WI |
NPI | 1063463669 |
---|---|
Provider Name | Richard D Orgill |
First Address | Oklahoma City, OK 73120-6202 |
Second Address | Oklahoma City, OK 73120-6202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 15/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200087530A | (05) | OK |