| |
4300 W Memorial Rd Oklahoma City OK 73120-8304 | |
(405) 936-5226 | |
Not Available |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 4300 W Memorial Rd, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Jesse R Campbell (PRESIDENT) |
Authorized Official Contact | 4054868874 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 776066 Chicago IL 60677-6066 Ph: () - | 4300 W Memorial Rd Oklahoma City OK 73120-8304 Ph: (405) 936-5226 |
NPI Number | 1750986295 |
---|---|
Provider Enumeration Date | 12/02/2020 |
Last Update Date | 01/12/2021 |
Medicare PECOS PAC ID | 1153468921 |
---|---|
Medicare Enrollment ID | O20210204002033 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750986295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |