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EDMOND AM CLINIC LLC NPI 1760655773


NPI Information

NPI: 1760655773
Provider Name: EDMOND AM CLINIC LLC

Doing Business As: EDMOND AM CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1714 S KELLY AVE
EDMOND, OK
ZIP 73013
Phone: (405) 216-3993
Get Directions

EDMOND AM CLINIC LLC is a family medicine in Edmond, 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. EDMOND AM CLINIC LLC NPI is 1760655773. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Edmond Am Clinic.

The provider's business location address is:

1714 S KELLY AVE
EDMOND, OK
ZIP 73013-624
Phone: (405) 216-3993
Fax: (405) 216-3992

The provider's authorized official is Bill J Buffington .
The authorized official title is Medical Director and has the following contact phone number (405) 216-3993.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 10/21/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineN/AOKLAHOMAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200134140AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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