Organization
C.C. FREEMAN, MD. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES C. FREEMAN MD (PRESIDENT)
(405) 644-5410
Entity
Organization
Contact information
Practice address
4221 S. WESTERN AVE., SUITE 2015, OKLAHOMA CITY, OK 73109
(405) 644-5410
(405) 644-5409
Mailing address
4221 S. WESTERN AVE., SUITE 2015, OKLAHOMA CITY, OK 73109
(405) 644-5410
(405) 644-5409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
OK
207RC0000X
Cardiovascular Disease Physician
—
OK
207RI0011X
Interventional Cardiology Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134070A
—
OK
Enumeration date
02/21/2012
Last updated
02/21/2012
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