| Northwest Family Medicine | |
|
7301 N Comanche Ave Warr Acres OK 73132-6646 | |
| (405) 728-2100 | |
| (405) 728-2244 |
| Full Name | Northwest Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 7301 N Comanche Ave, Warr Acres, Oklahoma |
| Authorized Official Name and Position | David Loftis (OWNER/MANAGER) |
| Authorized Official Contact | 4057282100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Family Medicine 7301 N Comanche Ave Warr Acres OK 73132-6646 Ph: (405) 728-2100 | Northwest Family Medicine 7301 N Comanche Ave Warr Acres OK 73132-6646 Ph: (405) 728-2100 |
| NPI Number | 1548434160 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 06/08/2016 |
| Medicare PECOS PAC ID | 7315230364 |
|---|---|
| Medicare Enrollment ID | O20160728000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548434160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebecca Ann Faulkner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154307338 PECOS PAC ID: 7012932114 Enrollment ID: I20100819000847 |
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