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711 Stanton L Young Blvd Ppob 210 Oklahoma City OK 73104-5023 | |
| (405) 271-3635 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 711 Stanton L Young Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Brian Maddy (CEO) |
| Authorized Official Contact | 4052713932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
711 Stanton L Young Blvd Ppob215 Oklahoma City OK 73104-5023 Ph: (405) 271-4113 | 711 Stanton L Young Blvd Ppob 210 Oklahoma City OK 73104-5023 Ph: (405) 271-3635 |
| NPI Number | 1679725782 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 08/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679725782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
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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 | |