Organization
FAMILY MEDICINE ASSOCIATES OF EDMOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JONES (DIRECTOR OF PATIENT ACCOUNTING)
(405) 271-7099
Entity
Organization
Contact information
Practice address
105 S BRYANT AVE STE 210, EDMOND, OK 73034-6331
(405) 359-5229
(405) 359-5214
Mailing address
PO BOX 744499, ATLANTA, GA 30374-4499
(405) 271-8132
(405) 271-5006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200249490A
—
OK
Enumeration date
05/28/2009
Last updated
07/15/2019
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