MEDICARE: ALLIED PHYSICIANS GROUP

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1043598154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED PHYSICIANS GROUP

Provider Business Mailing Address
First Line	:	6820 NW 23RD ST
Second Line	:
City	:	BETHANY
State	:	OK
Zip	:	73008-5217
Country	:	US
Telephone Number	:	405-495-5154
Fax Number	:

Provider Business Practice Location Address
First Line	:	8014 N WESTERN AVE
Second Line	:	SUITE E
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-1911
Country	:	US
Telephone Number	:	405-495-5154
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRENT SIEMENS
Credential	:	D.C.
Telephone Number	:	405-495-5154

Provider Enumeration Date	:	07/25/2011
Last Update Date	:	07/25/2011

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Directions to “ALLIED PHYSICIANS GROUP ” Practice Location

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