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Organization
GREAT PLAINS MEDICAL FOUNDATION
Active
Organization
GREAT PLAINS MEDICAL FOUNDATION
Active
Other names
Great Plains Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL CLEMENSON MD (CHAIRMAN)
(405) 951-2855
Entity
Organization
Contact information
Practice address
3500 NW 56TH ST STE 100, OKLAHOMA CITY, OK 73112-4517
(405) 951-2855
(405) 951-2858
Mailing address
3500 NW 56TH ST STE 100, OKLAHOMA CITY, OK 73112-4517
(405) 951-2855
(405) 951-2858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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