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Organization
MEDEXPRESS PRIMARY CARE OKLAHOMA, P.C.
Active
Organization
MEDEXPRESS PRIMARY CARE OKLAHOMA, P.C.
Active
Other names
Ardmore Michelin Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOY KIMBALL (CONTRACT MANAGER)
(763) 349-6740
Entity
Organization
Contact information
Practice address
1105 MICHELIN RD, ARDMORE, OK 73401-1085
(580) 224-8750
(580) 224-8751
Mailing address
423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
(304) 225-2500
(304) 985-6350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
05/07/2024
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