Full Name | |
---|---|
Speciality | Family Medicine |
Location | 8125 S Walker, Okc, Oklahoma |
Authorized Official Name and Position | Donald E Cohen (PRESIDENT) |
Authorized Official Contact | 4056326000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
8125 S Walker Okc OK 73139 Ph: (405) 632-6000 | 8125 S Walker Okc OK 73034 Ph: (405) 632-6000 |
NPI Number | 1114036019 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114036019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |