Organization
AGELESS FAMILY MEDICINE LLC
Active
Other names
Checkup Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE TAPONNO APRN (PROVIDER)
(405) 512-4881
Entity
Organization
Contact information
Practice address
5300 N MERIDIAN AVE STE 8, OKLAHOMA CITY, OK 73112-2137
(405) 768-2121
(405) 768-2232
Mailing address
1833 OLDE SCHOOL RD, EDMOND, OK 73012-3244
(405) 512-4881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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