Organization
FRONTIER HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET RICE HAYMORE MD (MEDICAL DIRECTOR)
(405) 563-8961
Entity
Organization
Contact information
Practice address
3330 NW 56TH ST, OKLAHOMA CITY, OK 73112-4479
(405) 563-8961
(405) 605-6276
Mailing address
3330 NW 56TH ST, OKLAHOMA CITY, OK 73112-4479
(405) 563-8961
(405) 605-6276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28286
OK
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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