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Organization
INTEGRIS SOUTH OKLAHOMA CITY CORPORATION
Active
Organization
INTEGRIS SOUTH OKLAHOMA CITY CORPORATION
Active
Other names
Integris Jim Thorpe Outpatient Rehab South
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY HUPFELC (PRESIDENT/CEO)
(405) 949-6066
Entity
Organization
Contact information
Practice address
4100 S DOUGLAS AVE, OKLAHOMA CITY, OK 73109-3210
(405) 644-5445
Mailing address
5400 N INDEPENDENCE AVE, 100, OKLAHOMA CITY, OK 73112-5300
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2289
OK
Other
Enumeration date
07/26/2006
Last updated
05/14/2008
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