SearchOklahoma101Y00000X

Royce Street

NPI 1699084178 · on the registry since 2010

Practice

Address
221 N Wewoka Ave
Wewoka, OK 74884
Phone
(405) 257-9030
Clinicians at this address
16

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma