| Marion Medical Pc | |
|
3808 E 51st St Tulsa OK 74135-3657 | |
| (918) 749-3797 | |
| (918) 749-1536 |
| Full Name | Marion Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3808 E 51st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Michael Kim Taylor (PRESIDENT) |
| Authorized Official Contact | 9187493797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Medical Pc 3808 E 51st St Tulsa OK 74135-3657 Ph: (918) 749-3797 | Marion Medical Pc 3808 E 51st St Tulsa OK 74135-3657 Ph: (918) 749-3797 |
| NPI Number | 1265552384 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/06/2012 |
| Medicare PECOS PAC ID | 9830151877 |
|---|---|
| Medicare Enrollment ID | O20041101001193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265552384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2087 (Oklahoma) | Primary |
| Provider Name | Michael K Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629297544 PECOS PAC ID: 7214183003 Enrollment ID: I20120809000917 |
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