Allied Physicians Group Inc Pc | |
6824 Nw 23rd St Bethany OK 73008-5217 | |
(405) 495-5154 | |
(405) 603-2313 |
Full Name | Allied Physicians Group Inc Pc |
---|---|
Speciality | Family Medicine |
Location | 6824 Nw 23rd St, Bethany, Oklahoma |
Authorized Official Name and Position | Brent D Siemens (PRESIDENT) |
Authorized Official Contact | 4054955154 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Allied Physicians Group Inc Pc 6820 Nw 23rd St Bethany OK 73008-5217 Ph: (405) 495-5154 | Allied Physicians Group Inc Pc 6824 Nw 23rd St Bethany OK 73008-5217 Ph: (405) 495-5154 |
NPI Number | 1538125521 |
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Provider Enumeration Date | 04/26/2006 |
Last Update Date | 06/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538125521 | NPI | - | NPPES |
200031250B | Medicaid | OK | |
600522049 | Other | OK | PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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