Ou Physicians S Okc Family Practice

NPI #1043653769 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1043653769
Entity Type: Organization
Organization Name: Ou Physicians S Okc Family Practice
Subpart: Yes (part of a larger organization)
Parent Organization: BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Apr 11, 2013
Last Updated: Apr 11, 2013

Practice Location

Address: 220 SW 89TH ST
Address 2: SUITE A
City: Oklahoma City
State: Oklahoma
ZIP Code: 73139-8504
Phone: (405) 616-7070

Authorized Official

Name: BRIAN MADDY
Title: CEO
Phone: (405) 271-3932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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Organizations

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