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Organization

MOSAIC MEDICAL FOUNDATION NORTH OKC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT CAUTHEN MD (MEMBER)
(405) 445-7492
Entity
Organization

Contact information

Practice address
10201 N MAY AVE, OKLAHOMA CITY, OK 73120-2510
(405) 631-0611
Mailing address
701 NE 36TH ST, OKLAHOMA CITY, OK 73105-7203
(405) 445-7492

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QX0100X
Occupational Medicine Clinic/Center

Other

Enumeration date
03/18/2020
Last updated
03/18/2020
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