Midwest City Hma Physician Management, LLC
Internal Medicine, Cardiovascular Disease in Midwest City, OK. Organization (NPI-2).
NPI number1295081982
StatusActive
Last updated in NPPESNov 27, 2012
Details
- NPI
- 1295081982
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest City Hma Physician Management, LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 31, 2012
- Last updated
- Nov 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
Other names
- Midwest Physician'S Group - Cardiology (Doing Business As)
Practice location
2801 Parklawn DrSuite 504
Midwest City, OK 73110-4211
Phone 405-732-7020 · Fax 405-732-7839
Mailing address
5811 Pelican Bay BlvdSuite 500
Naples, FL 34108-2733
Phone 239-598-3131 · Fax 239-592-0438
Authorized official
Michael L Gingras
Vice President
2395983131
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