| Westport Family Medicine, Pllc | |
|
2400 Palmer Cir Norman OK 73069-6301 | |
| (405) 321-6405 | |
| (405) 321-6457 |
| Full Name | Westport Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 Palmer Cir, Norman, Oklahoma |
| Authorized Official Name and Position | Jim D Davis (PARTNER) |
| Authorized Official Contact | 4053216405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westport Family Medicine, Pllc Po Box 268822 Oklahoma City OK 73126-8822 Ph: (405) 321-6405 | Westport Family Medicine, Pllc 2400 Palmer Cir Norman OK 73069-6301 Ph: (405) 321-6405 |
| NPI Number | 1033145370 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033145370 | NPI | - | NPPES |
| 200074650A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3845 (Oklahoma) | Primary |
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