Organization
GREGORY C KHOURY MD AMPC
Active
Organization
GREGORY C KHOURY MD AMPC
Active
Other names
The Peter C Khoury Memorial Psychiatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C KHOURY MD (PRESIDENT / MEDICAL DIRECTOR)
(405) 936-9410
Entity
Organization
Contact information
Practice address
3240 W BRITTON RD, SUITE 102, OKLAHOMA CITY, OK 73120-2040
(405) 936-9410
(405) 936-9474
Mailing address
3240 W BRITTON RD, SUITE 102, OKLAHOMA CITY, OK 73120-2040
(405) 936-9410
(405) 936-9474
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13298
OK
208D00000X
General Practice Physician
13298
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B89239
UPIN - ORIGINALLY ISSUED
LA
Enumeration date
07/24/2007
Last updated
07/24/2007
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