NPI 1003858416

Hefner West Medical Clinic, P.C.

Organisation Legal Medicine Oklahoma City, OK

Practice location

Address: 4400 NW 63rd St, Oklahoma City, OK 73116-1545
Phone: (405) 942-0090
Fax: (405) 942-8055

Authorised official

Name: Labid Sam Musallam
Title: Physician
Phone: (405) 942-0090

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 11815 (OK)

Other Legal Medicine providers in Oklahoma →

Registry record

NPI: 1003858416
Entity type: Organization
NPI issued: 11 Jun 2006
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.