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Organization
AHS OKLAHOMA PHYSICIAN GROUP, LLC
Active
Organization
AHS OKLAHOMA PHYSICIAN GROUP, LLC
Active
Other names
Cushing Medical Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP GENERAL COUNSEL)
(615) 296-3594
Entity
Organization
Contact information
Practice address
1025 E 2ND ST, CUSHING, OK 74023-4136
(918) 225-3627
Mailing address
340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
(615) 296-3594
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/10/2021
Last updated
06/22/2026
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