Organization
BAPTIST REGIONAL ASSOCIATED PHYSICIANS
Active
Other names
Miami Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL A HART (PRESIDENT)
(918) 542-6611
Entity
Organization
Contact information
Practice address
203 2ND AVE SW, MIAMI, OK 74354-6818
(918) 540-7300
Mailing address
203 2ND AVE SW, MIAMI, OK 74354-6818
(918) 540-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100710600E
—
OK
01
—
37D1076269
CLIA
OK
Enumeration date
10/10/2007
Last updated
06/02/2008
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