# BAPTIST REGIONAL ASSOCIATED PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miami Family Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831387364
- **Authorized official:** JOEL A HART (PRESIDENT)
- **Authorized official phone:** (918) 542-6611

## Contact information

- **Practice address:** 203 2ND AVE SW, MIAMI, OK 74354-6818
- **Practice address phone:** (918) 540-7300
- **Mailing address:** 203 2ND AVE SW, MIAMI, OK 74354-6818
- **Mailing address phone:** (918) 540-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100710600E | — | OK |
| 01 | — | 37D1076269 | CLIA | OK |
