Organization
PRIMARY CARE MEDICAL CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SHANE JOHNSON M.D. (OWNER)
(810) 941-8245
Entity
Organization
Contact information
Practice address
13600 PRAIRIE VIEW LN, OKLAHOMA CITY, OK 73142-5917
(888) 330-7831
(888) 330-7831
Mailing address
13600 PRAIRIE VIEW LN, OKLAHOMA CITY, OK 73142-5917
(888) 330-7831
(888) 330-7831
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
30380
OK
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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