Organization
DOUGLAS MENZ, D.O. P.C.
Active
Other names
Lake Pointe Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DOUGLAS MENZ D.O. (PHYSICIAN/OWNER)
(405) 391-2970
Entity
Organization
Contact information
Practice address
20912 SE 29TH ST, HARRAH, OK 73045-6439
(405) 391-2970
(405) 391-2972
Mailing address
20912 SE 29TH ST, HARRAH, OK 73045-6439
(405) 391-2970
(405) 391-2972
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3408
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800522008
MEDICARE GROUP NUMBER
OK
Enumeration date
08/06/2007
Last updated
08/19/2008
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