| Edmond Physician Services Llc | |
|
105 S Bryant Ave Ste 105 Edmond OK 73034-6330 | |
| (405) 715-3102 | |
| Not Available |
| Full Name | Edmond Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 S Bryant Ave Ste 105, Edmond, Oklahoma |
| Authorized Official Name and Position | Stephanie Jones (DIRECTOR OF PATIENT ACCOUNTING) |
| Authorized Official Contact | 4052718132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmond Physician Services Llc Po Box 744503 Atlanta GA 30374-4503 Ph: (405) 271-8132 | Edmond Physician Services Llc 105 S Bryant Ave Ste 105 Edmond OK 73034-6330 Ph: (405) 715-3102 |
| NPI Number | 1629018429 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 03/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629018429 | NPI | - | NPPES |
| 200045590A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Ali Nawaz Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2940 Hunter Crest Dr, Edmond, OK 73034 Phone: 917-558-4195 | |
Saint Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 W 15th St, Edmond, OK 73013 Phone: 405-513-8535 | |
Edmond Podiatry Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 S Bryant Ave Ste 104, Edmond, OK 73034 Phone: 405-715-3102 Fax: 405-715-2905 | |
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