Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
INTEGRIS NW Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREG A MEYERS (SENIOR)
(580) 977-1831
Entity
Organization
Contact information
Practice address
620 S MADISON ST, SUITE 209, ENID, OK 73701-7273
(580) 548-1544
(580) 548-1590
Mailing address
PO BOX 5038, ENID, OK 73702-5038
(580) 548-1367
(580) 548-1537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699500L
—
OK
Enumeration date
04/29/2009
Last updated
12/16/2013
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