MEDICARE: GUY PATRICK BELFORD MD

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	15206	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DA1415	OTHER	OK	RR MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336114461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUY PATRICK BELFORD MD

Provider Business Mailing Address
First Line	:	5300 N INDEPENDENCE AVE
Second Line	:	280
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5556
Country	:	US
Telephone Number	:	918-540-7788
Fax Number	:	918-540-7786

Provider Business Practice Location Address
First Line	:	310 2ND AVE SW
Second Line	:	STE 203
City	:	MIAMI
State	:	OK
Zip	:	74354-6743
Country	:	US
Telephone Number	:	918-540-7788
Fax Number	:	918-540-7786

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	02/13/2018

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Directions to “ GUY PATRICK BELFORD MD” Practice Location

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