Sunnylane Medical Clinic LLC

NPI #1255922811 in Del City, Oklahoma

Provider Information

NPI Number: 1255922811
Entity Type: Organization
Organization Name: Sunnylane Medical Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 27, 2021
Last Updated: Aug 14, 2023

Practice Location

Address: 3916 S SUNNYLANE RD
City: Del City
State: Oklahoma
ZIP Code: 73115-3656
Phone: (405) 455-5330

Authorized Official

Name: BRADEN PETERSON, NP
Title: OWNER
Phone: (405) 455-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Family Medicine	207Q00000X	Primary

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