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Organization

MEDEXPRESS URGENT CARE, PC - OKLAHOMA

Active
Other names
MedExpress Urgent Care - Lawton, NW Cache Rd
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIM G BUGIN (VP PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization

Contact information

Practice address
3428 NW CACHE ROAD, LAWTON, OK 73505-3846
(580) 595-7207
(580) 595-7241
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200568600A
OK
Enumeration date
12/22/2014
Last updated
09/14/2016
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