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Organization
HERITAGE PARK MEDICAL CENTER INC
Active
Organization
HERITAGE PARK MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI K DANKER (PRACTICE ADMINISTRATOR)
(405) 737-1242
Entity
Organization
Contact information
Practice address
6908 E RENO AVE, MIDWEST CITY, OK 73110-2128
(405) 737-6871
(405) 737-7700
Mailing address
PO BOX 25016, OKLAHOMA CITY, OK 73125-0016
(405) 737-6871
(405) 737-7700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/24/2006
Last updated
04/24/2008
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