# PHP YUKON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Health Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164938858
- **Authorized official:** DR. ROBERT LOCKWOOD MD (OWNER)
- **Authorized official phone:** (405) 265-2778

## Contact information

- **Practice address:** 1820 COMMONS CIR STE B, YUKON, OK 73099-9518
- **Practice address phone:** (405) 265-2778
- **Practice address fax:** (405) 494-7274
- **Mailing address:** 1820 COMMONS CIR STE B, YUKON, OK 73099-9518
- **Mailing address phone:** (405) 265-2778
- **Mailing address fax:** (405) 494-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21700 | OK | Yes |

## Other

- **Enumeration date:** 12/18/2017
- **Last updated:** 12/18/2017