Organization
OU PHYSICIANS S OKC FAMILY PRACTICE
Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Authorized official
BRIAN MADDY (CEO)
(405) 271-3932
Entity
Organization
Contact information
Practice address
220 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-8504
(405) 616-7070
(405) 632-8495
Mailing address
1122 NE 13TH ST, ORI 274, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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