MEDICARE: ALLIED PHYSICIANS GROUP INC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	600522049	OTHER	OK	PROVIDER

General Provider Information

NPI Number	:	1033244934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED PHYSICIANS GROUP INC PC

Provider Business Mailing Address
First Line	:	2952 SW 59TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-6402
Country	:	US
Telephone Number	:	405-495-5154
Fax Number	:	405-603-2313

Provider Business Practice Location Address
First Line	:	2952 SW 59TH
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-6402
Country	:	US
Telephone Number	:	405-495-0070
Fax Number	:	405-603-2313

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JAMIE A BILLINGSLEY
Credential	:
Telephone Number	:	405-495-5154

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	03/01/2011

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