EAGLE COMMUNITY CLINIC LLC

EDMOND, OK
NPI1063790202
Entity TypeOrganization
Authorized ContactBRANDON L PENICK
Director Of Reimbursement
405-360-6764
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2011-07-21
Last Update Date2011-07-21
Business Address
EAGLE COMMUNITY CLINIC LLC
13800 BENSON RD 202
EDMOND, OK 73013-6422
Phone number: 405-418-3077
Mailing Address
EAGLE COMMUNITY CLINIC LLC
PO BOX 5995
NORMAN, OK 73070-5995
Phone number: 405-360-6764
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