Organization
FAITH FAMILY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMI BENTON MD (PHYSICIAN/CEO)
(580) 227-7448
Entity
Organization
Contact information
Practice address
4125 W OWEN K GARRIOTT RD STE A-1, ENID, OK 73703-4820
(580) 616-3007
(580) 324-8008
Mailing address
4201 EVANDALE DR, ENID, OK 73703-7301
(580) 227-7448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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