# OCA N. PENN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACCESS MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700100393
- **Authorized official:** KEVIN C CONATSER D.O. (OWNER/PHYSICIAN)
- **Authorized official phone:** (405) 512-6950

## Contact information

- **Practice address:** 16205 N. PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73013
- **Practice address phone:** (405) 512-6950
- **Practice address fax:** (405) 512-6960
- **Mailing address:** 16205 N. PENNSYLVANIA AVE., OKLAHOMA CITY, OK 73013
- **Mailing address phone:** (405) 512-6950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3562 | OK | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 03/25/2010