Organization · Type 2 NPI

Prairie Gardens Medical LLC

General Practice Physician · Oklahoma City, OK

NPI number 1669080891 Active

Practice location

1213 NW 122nd St Ste 401
Oklahoma City, OK 73114-7000

Call (405) 962-8123 Map

Fax (405) 962-8125

Mailing address

175 Lary Ln
Guthrie, OK 73044-6542

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1669080891

Prairie Gardens Medical LLC's National Provider Identifier is 1669080891, issued on Jul 14, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 16, 2020.