Organization
SUNNYLANE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADEN PETERSON NP (OWNER)
(405) 455-5330
Entity
Organization
Contact information
Practice address
3916 S SUNNYLANE RD, DEL CITY, OK 73115-3656
(405) 455-5330
Mailing address
3916 S SUNNYLANE RD, DEL CITY, OK 73115-3656
(405) 455-5330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
01/27/2021
Last updated
08/14/2023
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