Organization
SOUTHWEST FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY STEPHEN RODGERS D,O. (OWNER)
(405) 682-4651
Entity
Organization
Contact information
Practice address
2149 SW 59TH ST, SUITE 101, OKLAHOMA CITY, OK 73119-7033
(405) 682-4651
(405) 682-3391
Mailing address
2149 SW 59TH ST, SUITE 101, OKLAHOMA CITY, OK 73119-7033
(405) 682-4651
(405) 682-3391
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1648
OK
Other
Enumeration date
09/30/2010
Last updated
11/05/2010
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