Organization
ADVANCED PRIMARY CARE CLINIC OF THE STOCKYARDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEDMIA FONKEM MD (OWNER)
(405) 233-3745
Entity
Organization
Contact information
Practice address
1506 S AGNEW AVE, OKLAHOMA CITY, OK 73108-2432
(405) 232-3745
Mailing address
1506 S AGNEW AVE, OKLAHOMA CITY, OK 73108-2432
(405) 232-3745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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