Douglas Menz, D.O. P.C.
Clinic/Center, Primary Care in Harrah, OK. Organization (NPI-2).
NPI number1992996789
StatusActive
Last updated in NPPESAug 19, 2008
Details
- NPI
- 1992996789
- Entity type
- Organization (NPI-2)
- Legal business name
- Douglas Menz, D.O. P.C.
- Organization subpart
- No
- Enumeration date
- Aug 6, 2007
- Last updated
- Aug 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 3408 | OK | Yes |
Other names
- Lake Pointe Medical Center (Doing Business As)
Practice location
20912 Se 29th StHarrah, OK 73045-6439
Phone 405-391-2970 · Fax 405-391-2972
Mailing address
20912 Se 29th StHarrah, OK 73045-6439
Phone 405-391-2970 · Fax 405-391-2972
Authorized official
George Douglas Menz
Physician/Owner
4053912970
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