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Organization

TEAM CLINICS AH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TREVOR NUTT (CEO)
(405) 546-4130
Entity
Organization

Contact information

Practice address
1601 GORDON COOPER DR STE 1907, SHAWNEE, OK 74801-9002
(405) 546-4130
Mailing address
3112 COOKE WAY, OKLAHOMA CITY, OK 73179-2401
(405) 546-4130

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/16/2019
Last updated
06/21/2021
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