Php Yukon LLC

NPI #1568978187 in Edmond, Oklahoma

Provider Information

NPI Number: 1568978187
Entity Type: Organization
Organization Name: Php Yukon LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 19, 2017
Last Updated: Dec 19, 2017

Practice Location

Address: 1265 E 33RD ST
City: Edmond
State: Oklahoma
ZIP Code: 73013-6307
Phone: (405) 471-5655

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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