| NPI | 1053380287 |
|---|---|
| Doing Business As | CCOM MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | ANN BARKER ONG Corporate Secretary 918-683-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-03-25 |