PRAIRIE GARDENS MEDICAL LLC is a general practice in Oklahoma City, OK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee PRAIRIE GARDENS MEDICAL LLC NPI is 1689280067. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1213 NW 122ND ST STE 401
OKLAHOMA CITY, OK
ZIP 73114-000
Phone: (405) 962-9123
Fax: (405) 962-8125
The provider's authorized official is Dianne Genene Tupper .
The authorized official title is Practice Manager and has the following contact phone number (405) 742-8898.
The enumeration date for this NPI number is 9/21/2020 and was last updated on 9/29/2020.