| Midwest City Hma Physician Management, Llc | |
|
20826 Main St Harrah OK 73045-9756 | |
| (405) 454-2404 | |
| (405) 454-6372 |
| Full Name | Midwest City Hma Physician Management, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20826 Main St, Harrah, Oklahoma |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest City Hma Physician Management, Llc 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Midwest City Hma Physician Management, Llc 20826 Main St Harrah OK 73045-9756 Ph: (405) 454-2404 |
| NPI Number | 1437404167 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437404167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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