Norman Osteopathic Primarycare | |
500 E Robinson St Norman OK 73071-6697 | |
(405) 360-4836 | |
(405) 360-7177 |
Full Name | Norman Osteopathic Primarycare |
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Speciality | Family Medicine |
Location | 500 E Robinson St, Norman, Oklahoma |
Authorized Official Name and Position | Christopher Edge (OWNER) |
Authorized Official Contact | 4053604836 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Norman Osteopathic Primarycare Po Box 429 Norman OK 73070-0429 Ph: (405) 329-3149 | Norman Osteopathic Primarycare 500 E Robinson St Norman OK 73071-6697 Ph: (405) 360-4836 |
NPI Number | 1164432282 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7416903810 |
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Medicare Enrollment ID | O20050329000906 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164432282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2518 (Oklahoma) | Primary |
Provider Name | Donnell R Hammons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548221005 PECOS PAC ID: 9537065206 Enrollment ID: I20031211001010 |
Provider Name | Christopher A Edge |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447233184 PECOS PAC ID: 6608822010 Enrollment ID: I20100106000681 |
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