Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 32730 | OK |
NPI | 1073869715 |
---|---|
Provider Name | Rui Zhang |
First Address | Oklahoma City, OK 73112-5555 |
Second Address | Enid, OK 73701-7270 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2012 |
Last Update Date | 12/02/2018 |