Midwest Pulmonary And Sleep | |
608 Nw 9th Suite 2100 Oklahoma City OK 73102-1049 | |
(405) 232-5555 | |
(405) 270-0551 |
Full Name | Midwest Pulmonary And Sleep |
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Speciality | Internal Medicine |
Location | 608 Nw 9th Suite 2100, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Gregory Mckinnis (DOCTOR) |
Authorized Official Contact | 4052325555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Pulmonary And Sleep Po Box 2118 Oklahoma City OK 73101-2118 Ph: (405) 232-5555 | Midwest Pulmonary And Sleep 608 Nw 9th Suite 2100 Oklahoma City OK 73102-1049 Ph: (405) 232-5555 |
NPI Number | 1306030564 |
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Provider Enumeration Date | 08/30/2007 |
Last Update Date | 10/18/2012 |
Medicare PECOS PAC ID | 7315971629 |
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Medicare Enrollment ID | O20050926000228 |
Identifier | Type | State | Issuer |
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1306030564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Gregory H Mckinnis |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1972542207 PECOS PAC ID: 0840227542 Enrollment ID: I20050928000735 |
Provider Name | Ciby D Joseph |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598191959 PECOS PAC ID: 2062649114 Enrollment ID: I20131216001600 |
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