Ageless Family Medicine LLC
Family Medicine in Oklahoma City, OK. Organization (NPI-2).
NPI number1710692470
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1710692470
- Entity type
- Organization (NPI-2)
- Legal business name
- Ageless Family Medicine LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2023
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Checkup Medical Clinic (Doing Business As)
Practice location
5300 N Meridian Ave Ste 8Oklahoma City, OK 73112-2137
Phone 405-768-2121 · Fax 405-768-2232
Mailing address
1833 Olde School RdEdmond, OK 73012-3244
Phone 405-512-4881
Authorized official
Melanie Taponno
Provider
4055124881
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