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Organization

MOSAIC MEDICAL FOUNDATION WEST OKC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DON CAUTHEN (MEMBER)
(405) 445-7492
Entity
Organization

Contact information

Practice address
1139 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-5095
(405) 631-0611
Mailing address
701 NE 36TH ST, OKLAHOMA CITY, OK 73105-7203
(405) 445-7492

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2083X0100X
Occupational Medicine Physician

Other

Enumeration date
03/19/2020
Last updated
03/19/2020
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