| Primed Healthcare Llc | |
|
822 W Randolph Ave Enid OK 73701-3834 | |
| (580) 599-0272 | |
| (580) 603-8602 |
| Full Name | Primed Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 822 W Randolph Ave, Enid, Oklahoma |
| Authorized Official Name and Position | Jonathan K Bushman (OWNER) |
| Authorized Official Contact | 5805990272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primed Healthcare Llc 822 W Randolph Ave Enid OK 73701-3834 Ph: (580) 599-0272 | Primed Healthcare Llc 822 W Randolph Ave Enid OK 73701-3834 Ph: (580) 599-0272 |
| NPI Number | 1144830506 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 09/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144830506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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