OrganizationActive
Amie E Prough MD PLLC
NPI 1548457286 · Pediatrics Physician · Edmond, OK
Provider details
- NPI number
- 1548457286
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amie Prough, Physician(405) 844-4300
- License
- 24011 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1700 Renaissance Blvd
Edmond, OK 73013-3022
Phone: (405) 844-4300
Fax: (405) 844-4333
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Renaissance Blvd
Edmond, OK 73013-3022
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2007-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.