| Ou Physicians At Edmond | |
|
14101 N Eastern Avenue Edmond OK 73013 | |
| (405) 359-0919 | |
| (405) 340-1555 |
| Full Name | Ou Physicians At Edmond |
|---|---|
| Speciality | Clinic/center |
| Location | 14101 N Eastern Avenue, Edmond, Oklahoma |
| Authorized Official Name and Position | Brian L Maddy (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4052711515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ou Physicians At Edmond 1122 Ne 13th St Ori 274 Oklahoma City OK 73117-1039 Ph: (405) 359-0919 | Ou Physicians At Edmond 14101 N Eastern Avenue Edmond OK 73013 Ph: (405) 359-0919 |
| NPI Number | 1497038327 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497038327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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