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Organization
PHOENIX MEDICAL CENTER
Active
Organization
PHOENIX MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINYADA SINGLETON (MANAGING PARTNER)
(405) 601-6181
Entity
Organization
Contact information
Practice address
557 HARRISON ST, PAWNEE, OK 74058-2566
(918) 762-5050
(877) 515-8550
Mailing address
1141 N ROBINSON AVE, 101A, OKLAHOMA CITY, OK 73103-4929
(405) 601-6181
(405) 601-7012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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