| Integris Nw Family Medicine Clinic | |
|
620 S Madison St Suite 209 Enid OK 73701-7273 | |
| (580) 548-1544 | |
| (580) 548-1590 |
| Full Name | Integris Nw Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 620 S Madison St, Enid, Oklahoma |
| Authorized Official Name and Position | Greg A Meyers (SENIOR) |
| Authorized Official Contact | 5809771831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Nw Family Medicine Clinic Po Box 5038 Enid OK 73702-5038 Ph: (580) 548-1367 | Integris Nw Family Medicine Clinic 620 S Madison St Suite 209 Enid OK 73701-7273 Ph: (580) 548-1544 |
| NPI Number | 1003050410 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003050410 | NPI | - | NPPES |
| 100699500L | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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