Php Yukon LLC

NPI #1164938858 in Yukon, Oklahoma

Provider Information

NPI Number: 1164938858
Entity Type: Organization
Organization Name: Php Yukon LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 18, 2017
Last Updated: Dec 18, 2017

Practice Location

Address: 1820 COMMONS CIR STE B
City: Yukon
State: Oklahoma
ZIP Code: 73099-9518
Phone: (405) 265-2778

Authorized Official

Name: DR. ROBERT LOCKWOOD, MD
Title: OWNER
Phone: (405) 265-2778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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