Organization
CENTRAL OKLAHOMA CLINICAL ASSOCIATES, PLLC
Active
Other names
George R. Petry, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE R PETRY MD (OWNER/PHYSICIAN)
(405) 936-0504
Entity
Organization
Contact information
Practice address
9405 NORTH MAY AVENUE, OKLAHOMA CITY, OK 73120
(405) 936-0504
(405) 936-0561
Mailing address
9405 NORTH MAY AVENUE, OKLAHOMA CITY, OK 73120
(405) 936-0504
(405) 936-0561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24137
OK
Other
Enumeration date
06/15/2011
Last updated
09/14/2011
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