| Classen Family Medicine-shawnee | |
|
1025 Sw 4th St Ste 101 Moore OK 73160-2404 | |
| (405) 378-2001 | |
| (405) 445-7660 |
| Full Name | Classen Family Medicine-shawnee |
|---|---|
| Speciality | Family Medicine |
| Location | 1025 Sw 4th St Ste 101, Moore, Oklahoma |
| Authorized Official Name and Position | Hussein Torbati (MANAGING MEMBER) |
| Authorized Official Contact | 4057017111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Classen Family Medicine-shawnee 2818 Classen Blvd Norman OK 73071-4059 Ph: (405) 310-3400 | Classen Family Medicine-shawnee 1025 Sw 4th St Ste 101 Moore OK 73160-2404 Ph: (405) 378-2001 |
| NPI Number | 1063927408 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 07/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063927408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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