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5104 S Sooner Rd Oklahoma City OK 73135-5440 | |
| (405) 736-0149 | |
| (405) 737-1346 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 5104 S Sooner Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Michael L Gingras (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | 5104 S Sooner Rd Oklahoma City OK 73135-5440 Ph: (405) 736-0149 |
| NPI Number | 1790030419 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790030419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (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 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
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 | |