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Organization

BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS

Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Other names
OU Physicians Mid-Del Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Authorized official
BRIAN L MADDY (CHIEF EXECUTIVE OFFICER)
(405) 271-3932
Entity
Organization

Contact information

Practice address
1212 S DOUGLAS BLVD, SUITE B, MIDWEST CITY, OK 73130-5246
(405) 736-6811
(405) 736-6863
Mailing address
1212 S DOUGLAS BLVD, SUITE B, MIDWEST CITY, OK 73130-5246
(405) 736-6811
(405) 736-6863

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/29/2016
Last updated
03/07/2016
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