PRIMARYPRACTICE LLC

NORMAN, OK
NPI1932787926
Entity TypeOrganization
Authorized ContactKUMAR B ENNAMURI
Owner/President
405-820-2586
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2021-03-31
Last Update Date2021-03-31
Business Address
PRIMARYPRACTICE LLC
1125 N PORTER AVE STE 101
NORMAN, OK 73071-6443
Phone number: 405-364-0630
Mailing Address
PRIMARYPRACTICE LLC
1125 N PORTER AVE STE 101
NORMAN, OK 73071-6443
Phone number: 405-364-0630
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