Physiciancare P M LLC

NPI #1740359520 in Edmond, Oklahoma

Provider Information

NPI Number: 1740359520
Entity Type: Organization
Organization Name: Physiciancare P M LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 7, 2006
Last Updated: Jul 30, 2007

Practice Location

Address: 1714 S KELLY AVE
City: Edmond
State: Oklahoma
ZIP Code: 73013-3624
Phone: (405) 285-7500

Authorized Official

Name: ROBERT PETRIC
Title: ADMINISTRATOR
Phone: (405) 285-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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