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Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Active
Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Other names
OU Physicians Mid-Del Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Authorized official
BRIAN L MADDY (CHIEF EXECUTIVE OFFICER)
(405) 271-3932
Entity
Organization
Contact information
Practice address
1212 S DOUGLAS BLVD, SUITE B, MIDWEST CITY, OK 73130-5246
(405) 736-6811
(405) 736-6863
Mailing address
1212 S DOUGLAS BLVD, SUITE B, MIDWEST CITY, OK 73130-5246
(405) 736-6811
(405) 736-6863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
03/07/2016
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