| Mercy Diabetes Prevention - Oklahoma | |
|
4300 W Memorial Rd Oklahoma City OK 73120-8304 | |
| (405) 936-5226 | |
| Not Available |
| Full Name | Mercy Diabetes Prevention - Oklahoma |
|---|---|
| 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 |
|---|---|
| Mercy Diabetes Prevention - Oklahoma Po Box 776066 Chicago IL 60677-6066 Ph: () - | Mercy Diabetes Prevention - Oklahoma 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 |
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