| Ou Physicians Mid-del Family Medicine | |
|
1212 S Douglas Blvd Suite B Midwest City OK 73130-5246 | |
| (405) 736-6811 | |
| (405) 736-6863 |
| Full Name | Ou Physicians Mid-del Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1212 S Douglas Blvd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Brian L Maddy (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4052713932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ou Physicians Mid-del Family Medicine 1212 S Douglas Blvd Suite B Midwest City OK 73130-5246 Ph: (405) 736-6811 | Ou Physicians Mid-del Family Medicine 1212 S Douglas Blvd Suite B Midwest City OK 73130-5246 Ph: (405) 736-6811 |
| NPI Number | 1346600715 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346600715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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