Organization
FAMILY MEDICINE ASSOCIATES OF NORMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG L TERRELL (SR VP, COO)
(405) 307-1000
Entity
Organization
Contact information
Practice address
1237 ALAMEDA ST, NORMAN, OK 73071-3006
(405) 321-4511
(405) 360-6331
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 321-4511
(405) 360-6331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200047200A
—
OK
Enumeration date
07/16/2006
Last updated
03/11/2011
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