Organization
ENID MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ZANE RICKMAN MD (PRESIDENT)
(580) 237-0322
Entity
Organization
Contact information
Practice address
721 W BROADWAY AVE, ENID, OK 73701-3880
(580) 237-0322
(580) 233-0402
Mailing address
721 W BROADWAY AVE, ENID, OK 73701-3880
(580) 237-0322
(580) 233-0402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP8467
RAILROAD MEDICARE ID
—
Enumeration date
12/08/2006
Last updated
01/17/2009
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