| Primary Care Centers Of America, Llc | |
|
800 W 18th St Ste 130 Edmond OK 73013-3759 | |
| (405) 513-7257 | |
| (405) 513-7267 |
| Full Name | Primary Care Centers Of America, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 W 18th St Ste 130, Edmond, Oklahoma |
| Authorized Official Name and Position | Desiree A Koenig (OFFICE MANAGER) |
| Authorized Official Contact | 4055136334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Centers Of America, Llc 800 W 18th St Ste 130 Edmond OK 73013-3759 Ph: (405) 513-7257 | Primary Care Centers Of America, Llc 800 W 18th St Ste 130 Edmond OK 73013-3759 Ph: (405) 513-7257 |
| NPI Number | 1659855666 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 01/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659855666 | NPI | - | NPPES |
| 1659855666 | Other | OK | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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