# PHOENIX MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205208535
- **Authorized official:** KINYADA SINGLETON (MANAGING PARTNER)
- **Authorized official phone:** (405) 601-6181

## Contact information

- **Practice address:** 557 HARRISON ST, PAWNEE, OK 74058-2566
- **Practice address phone:** (918) 762-5050
- **Practice address fax:** (877) 515-8550
- **Mailing address:** 1141 N ROBINSON AVE, 101A, OKLAHOMA CITY, OK 73103-4929
- **Mailing address phone:** (405) 601-6181
- **Mailing address fax:** (405) 601-7012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 10/26/2015