# OCA II EDMOND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Access Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760494884
- **Authorized official:** DR. BRUCE D CORNETT DO (MANAGING PARTNER)
- **Authorized official phone:** (405) 844-5210

## Contact information

- **Practice address:** 46 E 15TH ST, EDMOND, OK 73013-4301
- **Practice address phone:** (405) 844-5210
- **Practice address fax:** (405) 341-7074
- **Mailing address:** 46 E 15TH ST, EDMOND, OK 73013-4301
- **Mailing address phone:** (405) 844-5210
- **Mailing address fax:** (405) 341-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3453 | OK | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 08/05/2010
