ICO PRIMARY CARE, LLC

CHOCTAW, OK
NPI1568144996
Entity TypeOrganization
Authorized ContactKEVIN PENWELL
Cmo
405-600-6869
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2023-08-04
Last Update Date2025-07-24
Business Address
ICO PRIMARY CARE, LLC
1664 S CHOCTAW RD STE 101
CHOCTAW, OK 73020-6767
Phone number: 405-281-2144
Mailing Address
ICO PRIMARY CARE, LLC
5701 SE 74TH ST STE E
OKLAHOMA CITY, OK 73135-1110
Phone number: 405-600-6869
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