OrganizationActive
Ingram Co
NPI 1972851467 · Addiction Medicine (Family Medicine) Physician · Oklahoma City, OK
Provider details
- NPI number
- 1972851467
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Ross, Ceo(405) 719-3905
- License
- 8457 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6525 N Meridian Ave
Oklahoma City, OK 73116-1420
Phone: (405) 719-3905
Approximate (ZIP-level) locationGet directions
Mailing address
6525 N Meridian Ave
Oklahoma City, OK 73116-1420
Registry dates
- Enumerated
- 2012-08-15
- Last updated
- 2012-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.