Organization
SUNNYLANE MEDICAL CLINIC
Active
Other names
Sunnylane Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NOHEMY GARCIA (CREDENTIALING ADMINISTRATOR)
(405) 682-8383
Entity
Organization
Contact information
Practice address
3916 S SUNNYLANE RD, OKLAHOMA CITY, OK 73115-3656
(405) 677-3378
(405) 930-3941
Mailing address
3916 S SUNNYLANE RD, OKLAHOMA CITY, OK 73115-3656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
11/04/2022
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