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

PHP OK PC

Active Organization

Family Medicine · ARDMORE, OK

Registration Details

NPI Number
1629796974
Provider Type
Organization
NPI Issued
Aug 22, 2022 (3.6915901468541 yrs)
Last Updated
Mar 13, 2024

Practice Information

Address
1111 WALNUT DR
ARDMORE, OK, 734012354
Browse OK providers · Browse ZIP 73401
Phone
5802239008
Fax
5802235051
Primary Specialty
Family Medicine
207Q00000X
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.