Edmond Physician Services LLC

NPI #1629018429 in Edmond, Oklahoma

Provider Information

NPI Number: 1629018429
Entity Type: Organization
Organization Name: Edmond Physician Services LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 8, 2006
Last Updated: Mar 11, 2019

Practice Location

Address: 105 S BRYANT AVE STE 105
City: Edmond
State: Oklahoma
ZIP Code: 73034-6330
Phone: (405) 715-3102

Authorized Official

Name: STEPHANIE JONES
Title: DIRECTOR OF PATIENT ACCOUNTING
Phone: (405) 271-8132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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