Organization
COMPLETE CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES V PERTREE D.C. (CLINIC DIRECTOR)
(405) 691-2838
Entity
Organization
Contact information
Practice address
9220 S PENN AVE STE A, OKLAHOMA CITY, OK 73159-6909
(405) 691-2838
(405) 692-8807
Mailing address
9220 S PENN AVE STE A, OKLAHOMA CITY, OK 73159-6909
(405) 691-2838
(405) 692-8807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2496
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260662270003
BLUE CROSS BLUE SHIELD
OK
Enumeration date
09/04/2007
Last updated
09/04/2007
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