Organization · NPI-2
Advanced Medical Providers
Clinic/Center · Oklahoma City, OK
NPI number1629859525
StatusActive
Last updated in NPPESOct 9, 2023
Details
- NPI
- 1629859525
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Medical Providers
- Organization subpart
- No
- Enumeration date
- Oct 9, 2023
- Certification date
- Oct 8, 2023
- Last updated
- Oct 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
13908 Quailbrook DrOklahoma City, OK 73134-1718
Phone 405-449-0276
Mailing address
13908 Quailbrook Dr Bldg COklahoma City, OK 73134-1718
Phone 405-449-0276
Authorized official
Lisa Ann Hargis
Provider
5802209830
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