Organization
RYLAN-JAGGER MEDICAL LLC
Active
Other names
SANTA FE CLINIC OF EDMOND
Organization subpart
No
Provider details
NPI number
Authorized official
DATHAN D JAY MD (PRESIDENT)
(405) 513-7070
Entity
Organization
Contact information
Practice address
523 S SANTA FE AVE, EDMOND, OK 73003-6226
(405) 513-7070
(405) 513-7071
Mailing address
PO BOX 99112, OKLAHOMA CITY, OK 73199-0001
(405) 513-7070
(405) 513-7071
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2007
Last updated
05/29/2008
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