ST. MARY'S PHYSICIAN ASSOCIATES LLC NPI 1740302751

NPI Information

ST. MARY'S PHYSICIAN ASSOCIATES, LLC is a family medicine in Enid, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. MARY'S PHYSICIAN ASSOCIATES, LLC NPI is 1740302751. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

302 N INDEPENDENCE ST
SUITE 300
ENID, OK
ZIP 73701-097
Phone: (580) 249-3915

The provider's authorized official is Todd Evans .
The authorized official title is Cfo and has the following contact phone number (610) 768-3300.

The CLIA number assigned to this NPI record is 37D0472542 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 6/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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