Organization
FIRST MED CLINIC 39TH LLC
Active
Parent organization
ADVANCE PHYSICIANS GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE PHYSICIANS GROUP LLC
Authorized official
TODD LECHTENBERGER (CEO)
(405) 471-6400
Entity
Organization
Contact information
Practice address
4510 NW 39TH ST, OKLAHOMA CITY, OK 73122-2503
(405) 495-5841
(405) 495-7825
Mailing address
1221 N KELLY AVE, EDMOND, OK 73003-4865
(405) 471-6400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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