Mid-del Family Physicians, Llc | |
1212 S Douglas Blvd Midwest City OK 73130-5246 | |
(405) 736-6811 | |
(405) 736-6863 |
Full Name | Mid-del Family Physicians, Llc |
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Speciality | Family Medicine |
Location | 1212 S Douglas Blvd, Midwest City, Oklahoma |
Authorized Official Name and Position | Timothy J Moser (PHYSICIAN) |
Authorized Official Contact | 4057366811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mid-del Family Physicians, Llc 1212 S Douglas Blvd Midwest City OK 73130-5246 Ph: (405) 736-6811 | Mid-del Family Physicians, Llc 1212 S Douglas Blvd Midwest City OK 73130-5246 Ph: (405) 736-6811 |
NPI Number | 1083756548 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 05/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083756548 | NPI | - | NPPES |
200030280A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Dubois Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1117 S Douglas Blvd, Ste D, Midwest City, OK 73130 Phone: 405-741-8686 Fax: 405-733-9621 | |
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