Organization
NE WELLNESS COMMUNITY HEALTH CLINIC
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
JOHN P ZUBIALDE MD (EXECUTIVE DEAN)
(405) 271-1515
Entity
Organization
Contact information
Practice address
2600 NE 63RD STREET, OKLAHOMA CITY, OK 73111
(405) 271-5859
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
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
01/06/2020
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