| Durham Family Medicine Inc | |
|
203 2nd Ave Sw Miami OK 74354-6818 | |
| (918) 540-3500 | |
| (918) 540-3506 |
| Full Name | Durham Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 203 2nd Ave Sw, Miami, Oklahoma |
| Authorized Official Name and Position | Micheal Jeffery Durham (OWNER) |
| Authorized Official Contact | 9185403500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham Family Medicine Inc 203 2nd Ave Sw Miami OK 74354-6818 Ph: (918) 540-3500 | Durham Family Medicine Inc 203 2nd Ave Sw Miami OK 74354-6818 Ph: (918) 540-3500 |
| NPI Number | 1265638100 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 03/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265638100 | NPI | - | NPPES |
| 200075960A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4291 (Oklahoma) | Primary |
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