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Organization
IBMC ER PHYSICIANS
Active
Organization
IBMC ER PHYSICIANS
Active
Parent organization
INTEGRIS BAPTIST MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRIS BAPTIST MEDICAL CENTER
Authorized official
BRUCE LAWRENCE FACHE (EXECUTIVE VICE PRESIDENT AND COO)
(405) 949-3177
Entity
Organization
Contact information
Practice address
3300 NW EXPRESSWAY ST, OKLAHOMA CITY, OK 73112-4418
(405) 949-3177
Mailing address
3300 NW EXPRESSWAY ST, OKLAHOMA CITY, OK 73112-4418
(405) 949-3177
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
09/11/2006
Last updated
01/06/2011
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