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Organization

PHP OK PC

Active
Parent organization
PHP OK PC
Other names
Primary Health Partbners
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHP OK PC
Authorized official
ANGIE MCKINNEY (OPERATIONS MANAGER)
(405) 577-6571
Entity
Organization

Contact information

Practice address
2050 W KENOSHA ST, BROKEN ARROW, OK 74012-8946
(918) 882-0440
(918) 882-0441
Mailing address
1820 COMMONS CIR STE B, YUKON, OK 73099-9518
(405) 265-2778
(405) 577-6571

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/15/2024
Last updated
03/15/2024
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