Organization
FAMILY MEDICAL & URGENT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE ANDERSON (OWNER)
(405) 691-3100
Entity
Organization
Contact information
Practice address
1140 SW 104TH ST, OKLAHOMA CITY, OK 73139-2992
(405) 691-3100
(405) 691-3106
Mailing address
1140 SW 104TH ST, OKLAHOMA CITY, OK 73139-2992
(405) 691-3100
(405) 691-3106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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