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Organization
MOSAIC MEDICAL FOUNDATION NORTH OKC
Active
Organization
MOSAIC MEDICAL FOUNDATION NORTH OKC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT CAUTHEN MD (MEMBER)
(405) 445-7492
Entity
Organization
Contact information
Practice address
10201 N MAY AVE, OKLAHOMA CITY, OK 73120-2510
(405) 631-0611
Mailing address
701 NE 36TH ST, OKLAHOMA CITY, OK 73105-7203
(405) 445-7492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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