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Organization

INTEGRIS AMBULATORY CARE CORP

Active
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Organization

INTEGRIS AMBULATORY CARE CORP

Active
Other names
INTEGRIS Jim Thorpe Rehabilitation YMCA Healthy Living Center
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT DAVIS (VICE PRESIDENT)
(405) 949-3774
Entity
Organization

Contact information

Practice address
5520 N INDEPENDENCE AVE, OKLAHOMA CITY, OK 73112-5641
(405) 945-4500
(405) 945-4501
Mailing address
5520 N INDEPENDENCE AVE, OKLAHOMA CITY, OK 73112-5641

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL

Other

Enumeration date
01/16/2019
Last updated
01/23/2019
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