Provider Demographics
NPI:1669579389
Name:MEDICAL SPECIALISTS INC
Entity type:Organization
Organization Name:MEDICAL SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:BOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-604-4321
Mailing Address - Street 1:5401 N PORTLAND
Mailing Address - Street 2:SUITE 220
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2082
Mailing Address - Country:US
Mailing Address - Phone:405-604-4321
Mailing Address - Fax:405-604-4331
Practice Address - Street 1:5401 N PORTLAND
Practice Address - Street 2:SUITE 220
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2082
Practice Address - Country:US
Practice Address - Phone:405-604-4321
Practice Address - Fax:405-604-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty