| Carl Patrick Griffin M.d., Inc. | |
|
3555 Nw 58th St Suite 801 Oklahoma City OK 73112-4707 | |
| (405) 840-7003 | |
| (405) 840-8221 |
| Full Name | Carl Patrick Griffin M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3555 Nw 58th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Carl Patrick Griffin (PRESIDENT) |
| Authorized Official Contact | 4058407003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Patrick Griffin M.d., Inc. 3555 Nw 58th St Suite 801 Oklahoma City OK 73112-4707 Ph: (405) 840-7003 | Carl Patrick Griffin M.d., Inc. 3555 Nw 58th St Suite 801 Oklahoma City OK 73112-4707 Ph: (405) 840-7003 |
| NPI Number | 1851585368 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 03/28/2012 |
| Medicare PECOS PAC ID | 6901844000 |
|---|---|
| Medicare Enrollment ID | O20050420000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851585368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 16969 (Oklahoma) | Primary |
| Provider Name | Carl P Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003813825 PECOS PAC ID: 1456399559 Enrollment ID: I20110927000224 |
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