Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 5055 | OK |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 5055 | OK |
NPI | 1528149796 |
---|---|
Provider Name | Scott Searcey |
First Address | Oklahoma City, OK 73116-1931 |
Second Address | Oklahoma City, OK 73116-1931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 27/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U31049 | (02) | OK |
V05955 | (02) | OK |