Organization
INTEGRIS RURAL HEALTH, INC.
Active
Other names
Family Physicians of the Plains
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF M BROWN (VP INTEGRIS RURAL PHY PRACT MGMT)
(580) 548-1367
Entity
Organization
Contact information
Practice address
915 E GARRIOTT RD, SUITE G, ENID, OK 73701-6156
(580) 242-5100
(580) 242-2700
Mailing address
PO BOX 960379, OKLAHOMA CITY, OK 73196-0379
(580) 548-1367
(580) 548-1583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19950
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119080R
—
OK
05
—
200219500B
—
OK
Enumeration date
06/01/2009
Last updated
08/24/2011
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