| Sitesource Medical, Llc | |
|
324 N Robinson Ave Oklahoma City OK 73102-6416 | |
| (405) 748-0122 | |
| Not Available |
| Full Name | Sitesource Medical, Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 324 N Robinson Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Karie Bailey (OWNER) |
| Authorized Official Contact | 4057480122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sitesource Medical, Llc Po Box 18622 Oklahoma City OK 73154-0622 Ph: (405) 748-0122 | Sitesource Medical, Llc 324 N Robinson Ave Oklahoma City OK 73102-6416 Ph: (405) 748-0122 |
| NPI Number | 1932591419 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 04/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932591419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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