Organization
PHYSICIANCARE P M LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PETRIC (ADMINISTRATOR)
(405) 285-7500
Entity
Organization
Contact information
Practice address
1714 S KELLY AVE, EDMOND, OK 73013-3624
(405) 285-7500
Mailing address
1714 S KELLY AVE, EDMOND, OK 73013-3624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
07/30/2007
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