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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CANYON PARK MEDICAL GROUP, PLLC

Active Organization

CANYON PARK MEDICAL GROUP, PLLC is a Primary Care Clinic organization located in EDMOND, Oklahoma. NPI 1063525954 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · EDMOND, OK

Registration Details

NPI Number
1063525954
Provider Type
Organization
NPI Issued
Aug 16, 2006 (20.003771484508 yrs)
Last Updated
May 2, 2011
License
8699 (OK)

Practice Information

Address
1501 E 19TH ST
EDMOND, OK, 730136618
Browse OK providers · Browse ZIP 73013
Phone
4053486611
Fax
4053489280
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.