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NPI Code Detail

MEDICARE: MEDICAL FITNESS INSTITUTE OF OKLAHOMA INC.

MEDICARE: MEDICAL FITNESS INSTITUTE OF OKLAHOMA INC.
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
1174H00000XHealth Educator
2224Y00000XClinical Exercise Physiologist

General Provider Information

NPI Number : 1114511680
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL FITNESS INSTITUTE OF OKLAHOMA INC.
Provider Business Mailing Address
First Line : 1609 N STRONG BLVD STE 500A
Second Line :
City : MCALESTER
State : OK
Zip : 74501-3839
Country : US
Telephone Number : 918-715-3114
Fax Number : 918-715-3114
Provider Business Practice Location Address
First Line : 1609 N STRONG BLVD STE 500A
Second Line :
City : MCALESTER
State : OK
Zip : 74501-3839
Country : US
Telephone Number : 918-715-3114
Fax Number : 918-715-3114
Authorized Official
Title or Position : CFO- CHIEF FINANCIAL OFFICER
Name : MR. BILL MOSS
Credential :
Telephone Number : 918-715-3114
Provider Enumeration Date : 02/25/2021
Last Update Date : 03/01/2021

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Directions to “MEDICAL FITNESS INSTITUTE OF OKLAHOMA INC. ” Practice Location

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