Organization
OCA II EDMOND, LLC
Active
Other names
Access Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE D CORNETT DO (MANAGING PARTNER)
(405) 844-5210
Entity
Organization
Contact information
Practice address
46 E 15TH ST, EDMOND, OK 73013-4301
(405) 844-5210
(405) 341-7074
Mailing address
46 E 15TH ST, EDMOND, OK 73013-4301
(405) 844-5210
(405) 341-7074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3453
OK
Other
Enumeration date
08/13/2006
Last updated
08/05/2010
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