Organization
NORTH SIDE INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON CHRISTOPHER LIPRIE MD (MANAGING MEMBER)
(405) 749-1484
Entity
Organization
Contact information
Practice address
6957 NW EXPRESSWAY, SUITE #301, OKLAHOMA CITY, OK 73132-3533
(405) 749-1484
(405) 749-1484
Mailing address
6957 NW EXPRESSWAY, SUITE #301, OKLAHOMA CITY, OK 73132-3533
(405) 749-1484
(405) 749-1484
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
18076
OK
Other
Enumeration date
10/07/2005
Last updated
08/22/2020
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