Organization
GERIATRIC MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY CRANMER MD (MEDICAL DIRECTOR)
(405) 692-2118
Entity
Organization
Contact information
Practice address
3545 NW 58TH ST STE 750, OKLAHOMA CITY, OK 73112-4710
(405) 692-2118
(405) 691-6499
Mailing address
PO BOX 19635, OKLAHOMA CITY, OK 73144-0635
(405) 692-2118
(405) 691-6499
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20328
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100711480A
MEDICAID
OK
01
—
800522004
MEDICARE
OK
Enumeration date
07/07/2006
Last updated
10/31/2011
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