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NPI Code Detail

MEDICARE: ALLIED PHYSICIAN'S GROUP INC PC

MEDICARE: ALLIED PHYSICIAN'S 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
1332B00000XDurable Medical Equipment & Medical Supplies
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1600522049OTHEROKPROVIDER

General Provider Information

NPI Number : 1811022593
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED PHYSICIAN'S GROUP INC PC
Provider Business Mailing Address
First Line : 6820 NW 23RD
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 : 1200 S AIR DEPOT BLVD
Second Line : STE P
City : MIDWEST CITY
State : OK
Zip : 73110-4866
Country : US
Telephone Number : 405-495-5154
Fax Number :
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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Directions to “ALLIED PHYSICIAN'S GROUP INC PC ” Practice Location

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