# STATE OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCO Student Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952334658
- **Authorized official:** JEANNE E PARSON (CLININC DIRECTOR)
- **Authorized official phone:** (405) 974-3117

## Contact information

- **Practice address:** 100 N UNIVERSITY DR \# 105, EDMOND, OK 73034-5207
- **Practice address phone:** (405) 974-3117
- **Practice address fax:** (405) 974-3832
- **Mailing address:** 100 N UNIVERSITY DR \# 123, EDMOND, OK 73034-5207
- **Mailing address phone:** (405) 974-3117
- **Mailing address fax:** (405) 974-3832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 03/02/2009