Organization
GREAT PLAINS MEDICAL FOUNDATION
Active
Other names
Great Plains Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL CLEMENSON MD (CHAIRMAN)
(405) 951-2855
Entity
Organization
Contact information
Practice address
3500 NW 56TH ST STE 100, OKLAHOMA CITY, OK 73112-4517
(405) 951-2855
(405) 951-2858
Mailing address
3500 NW 56TH ST STE 100, OKLAHOMA CITY, OK 73112-4517
(405) 951-2855
(405) 951-2858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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