# AGELESS FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Checkup Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710692470
- **Authorized official:** MELANIE TAPONNO APRN (PROVIDER)
- **Authorized official phone:** (405) 512-4881

## Contact information

- **Practice address:** 5300 N MERIDIAN AVE STE 8, OKLAHOMA CITY, OK 73112-2137
- **Practice address phone:** (405) 768-2121
- **Practice address fax:** (405) 768-2232
- **Mailing address:** 1833 OLDE SCHOOL RD, EDMOND, OK 73012-3244
- **Mailing address phone:** (405) 512-4881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2023
- **Last updated:** 01/17/2023
