Organization
I CARE IMMEDIATE CARE LLC
Active
Other names
I CARE IMMEDIATE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD AMUNDSEN II M.D. (MEDICAL DIRECTOR)
(405) 286-6000
Entity
Organization
Contact information
Practice address
206 N MUSTANG MALL TER, MUSTANG, OK 73064-5135
(405) 286-6000
(405) 286-6001
Mailing address
206 N MUSTANG MALL TER, MUSTANG, OK 73064-5135
(405) 286-6000
(405) 286-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
OK
01
—
PENDING
RAILROAD MEDICARE
OK
Enumeration date
06/05/2008
Last updated
09/24/2008
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