Mosaic Foundation South Okc | |
1317 Se 44th St Oklahoma City OK 73129-6906 | |
(405) 631-0611 | |
Not Available |
Full Name | Mosaic Foundation South Okc |
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Speciality | Family Medicine |
Location | 1317 Se 44th St, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Scott Mayer (DIRECTOR) |
Authorized Official Contact | 4054457492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mosaic Foundation South Okc 701 Ne 36th St Oklahoma City OK 73105-7203 Ph: (405) 445-7492 | Mosaic Foundation South Okc 1317 Se 44th St Oklahoma City OK 73129-6906 Ph: (405) 631-0611 |
NPI Number | 1285260679 |
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Provider Enumeration Date | 03/17/2020 |
Last Update Date | 03/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285260679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
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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 | |
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