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Organization
ADVANCED PRIMARY CARE CLINIC OF THE STOCKYARDS LLC
Active
Organization
ADVANCED PRIMARY CARE CLINIC OF THE STOCKYARDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEDMIA FONKEM MD (OWNER)
(405) 233-3745
Entity
Organization
Contact information
Practice address
1506 S AGNEW AVE, OKLAHOMA CITY, OK 73108-2432
(405) 232-3745
Mailing address
1506 S AGNEW AVE, OKLAHOMA CITY, OK 73108-2432
(405) 232-3745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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