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Organization

THE SPECIALTY CARE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMI REED (CEO)
(405) 276-8076
Entity
Organization

Contact information

Practice address
4127 NW 122ND ST STE E, OKLAHOMA CITY, OK 73120-8880
(405) 276-8076
(405) 276-8077
Mailing address
4127 NW 122ND ST STE E, OKLAHOMA CITY, OK 73120-8880
(405) 276-8076
(405) 276-8077

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
164W00000X
Licensed Practical Nurse
207QA0505X
Adult Medicine Physician
2080N0001X
Neonatal-Perinatal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255358891
OK
Enumeration date
04/12/2021
Last updated
04/15/2021
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