Central Oklahoma Family Medical Center

NPI #1306973094 in Konawa, Oklahoma

Provider Information

NPI Number
1306973094
Entity Type
Organization
Organization Name
Central Oklahoma Family Medical Center
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 28, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
527 W 3RD ST
City
Konawa
ZIP Code
74849-1415
Phone
(580) 925-3266

Authorized Official

Name
KASEY LEE BRUNDIDGE, MPA
Title
PA-C
Phone
(580) 925-3266

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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