| Edmond Am Clinic | |
|
1714 S Kelly Ave Edmond OK 73013-3624 | |
| (405) 216-3993 | |
| (405) 216-3992 |
| Full Name | Edmond Am Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1714 S Kelly Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Bill J Buffington (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4052163993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmond Am Clinic Po Box 269083 Oklahoma City OK 73126-9083 Ph: (405) 216-3993 | Edmond Am Clinic 1714 S Kelly Ave Edmond OK 73013-3624 Ph: (405) 216-3993 |
| NPI Number | 1760655773 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 10/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760655773 | NPI | - | NPPES |
| 200134140A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N/A (Oklahoma) | Primary |
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