Organization
THE EDEN CLINIC, INC.
Active
Other names
Obria Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA COZADD (EXECUTIVE DIRECTOR)
(405) 579-4673
Entity
Organization
Contact information
Practice address
1807 W LINDSEY ST, NORMAN, OK 73069-4101
(405) 579-4773
(405) 579-4413
Mailing address
PO BOX 669, NORMAN, OK 73070-0669
(405) 579-4673
(405) 579-4413
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
OK
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
OK
261QH0100X
Health Service Clinic/Center
—
OK
261QS1000X
Student Health Clinic/Center
—
OK
Other
Enumeration date
10/17/2017
Last updated
03/17/2018
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