| Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin | |
|
101 N Robinson Ave Suite 200 Oklahoma City OK 73102-5504 | |
| (405) 271-8880 | |
| (405) 208-8732 |
| Full Name | Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 N Robinson Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Brian L Maddy (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4052713932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin 1122 Ne 13th St Ori 274 Oklahoma City OK 73117-1039 Ph: (405) 271-1515 | Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin 101 N Robinson Ave Suite 200 Oklahoma City OK 73102-5504 Ph: (405) 271-8880 |
| NPI Number | 1013255249 |
|---|---|
| Provider Enumeration Date | 01/23/2013 |
| Last Update Date | 07/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013255249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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