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Organization
FASTCARE MEDICAL CLINIC OF EDMOND
Active
Organization
FASTCARE MEDICAL CLINIC OF EDMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA LOUISE WILLIAMS (VP)
(405) 942-3737
Entity
Organization
Contact information
Practice address
912 NW 150TH ST, EDMOND, OK 73013-1829
(405) 418-8660
(405) 418-8661
Mailing address
PO BOX 14587, OKLAHOMA CITY, OK 73113-0587
(405) 942-3737
(405) 942-3873
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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